慢性盆腔痛的腹腔镜诊治

目的 探讨腹腔镜在慢性盆腔痛(CPP)诊治中的应用。方法 对105例CPP患者行腹腔镜检查和治疗，术前均行B超检查。进行病例回顾性分析。结果 腹腔镜证实有病理改变者占95．24％。其中子宫内膜异位症56例，占53．33％，治疗有效率92．86％；慢性盆腔炎27例，占25．23％，治疗有效率88．89％：盆腔静脉瘀血症7例，占6．67％，治疗有效率57．14％；盆腔粘连10例，占9．52％，治疗有效率100．00％。术前B超发现病理改变并经腹腔镜证实者28例，占26．67％，准确率为28．00％。结论 腹腔镜能够明确CPP的病因，并能即时检测和治疗，可作为CPP诊治的常规和首选手段。

Laparoscopic diagnosis and therapy for chronic pelvic pain

Objective:To investigate the application of laparoscopy in chronic pelvic pain. Methods:Retrospective analyze clinical case of 105 chronic pelvic pain patients which were checked and treated with laparoscopy, all cases have the ultrasonography before operation.Results:It was conformation by laparoscopy that the patients with pathology alteration was 95.24%, of which endometriosis had 56 cases, the ratio was 53.33%, the efficiency of treatment was 92.86%; chronic pelvic inflammatory disease had 27 cases, the ratio was 25.23%, the efficiency of treatment was 88.89%;pelvic congestion syndrome had 7 cases, the ratio was 6.67%, the efficiency of treatment was 57.14%; the adhesion of pelvic had 10 cases, the ratio was 9.52%, the efficiency of treatment was 100%. The pathology alteration had 28 cases which were found by ultrasonography preoperation and confirmation by laparoscopy, the ratio was 26.67, the accurate rate was 28.00%.Conclusions:The laparoscopy can clear-cut the etiological factor of chronic pelvic pain, check and treat immediately, which as the routine and first method of diagnose and treatment of chronic pelvic pain.