CAJ | 학술논문

目的评价腹腔镜诊治慢性盆腔痛的效果.方法对腹腔镜诊治的72例慢性盆腔痛的患者进行回顾分析,比较其临床表现、术中所见、腹腔镜下实施的手术及术后随访资料.结果72例患者中,腹腔镜证实有病理改变和解剖改变的70例,占97.22%;其中,子宫内膜异位症有35例(48.61%),盆腔粘连23例(31.94%),慢性盆腔炎后遗症9例(12.50%),盆腔静脉淤血症 3例(4.17%),盆腔未发现病变 2例(2.78%).术后疼痛症状完全缓解37例(51.39%),部分缓解29例(40.28%),未缓解6例(8.33%).结论腹腔镜诊断慢性盆腔痛是一种较优越的方法,在寻找病因的同时可给予适当的治疗,值得推广使用.
목적평개복강경진치만성분강통적효과.방법대복강경진치적72례만성분강통적환자진행회고분석,비교기림상표현、술중소견、복강경하실시적수술급술후수방자료.결과72례환자중,복강경증실유병리개변화해부개변적70례,점97.22%;기중,자궁내막이위증유35례(48.61%),분강점련23례(31.94%),만성분강염후유증9례(12.50%),분강정맥어혈증 3례(4.17%),분강미발현병변 2례(2.78%).술후동통증상완전완해37례(51.39%),부분완해29례(40.28%),미완해6례(8.33%).결론복강경진단만성분강통시일충교우월적방법,재심조병인적동시가급여괄당적치료,치득추엄사용.
Objective We sought to evaluate the effects of laparoscopy for women who suffered from chronic pelvic pain. Methods We retrospectively analysed 72 patients who underwent laparoscopy for chronic pelvic pain, and compare the clinical manifestation, the presentation during the surgery, the detailed surgery, the detailed surgery procedure and the follow-up. Results It turns out that 70 patients, taking up 97.22%, had pathologic or anatomic changed which is identified by laparoscopy. Among them, 35 patents (48.61%) suffered from endometriosis, 23 patients(31.94%) suffered from pelvic adhesion,9 patients(12.5%) suffered from sequelae of chronic pelvic inflammation, 3 patients(4.17%) suffered pelvic hyperemia syndrome, 2 patients(2.78%) had no obvious changed. 37 patients(51.39%) were completely alleviated, 29 patients (40.28%) were partially alleviated, 6 patients (8.33%)got no alleviation. Conclusion The diagnosis and treatment of chronic pelvic pain with laparoscopy manifests much advantage, thus we advocate the wider use of laparoscopy for chronic pelvic pain.