应用腹腔镜诊断慢性盆腔痛244例分析

目的 :探讨腹腔镜在慢性盆腔痛 (chronic pelvic pain,CPP)病因诊断中的应用。方法 :对 2 44例 CPP患者行闭合式腹腔镜检查 ,术前行盆腔 B超检查。结果 :腹腔镜证实有病理改变者占 83.6 0 % ,其中慢性盆腔炎症、粘连占5 1.2 3% ,子宫内膜异位症占 33.6 1% ,卵巢囊肿占 3.6 9% ,盆腔瘀血症占 2 .87%。术前 B超发现有病理改变并经腹腔镜证实者占 2 2 .95 % ,B超准确率为 2 7.45 %。结论 :腹腔镜能明确大部分的 CPP病因 ,可作为诊断 CPP病因的常规和首选的手段

Clinical Analysis of Using Laparoscopy to Diagnose 244 Cases with Chronic Pelvic Pain

Objectives:To study the effect of laparoscopy used to diagnose the pathogenesis of CPP.Methods:244 patients with CPP were examined by closed laparoscopy after examined by B-us.Results:83.60% of patients were proved to have pathologic change by laparoscopy,of which 51.23% were chronic pelvic inflammatory or pelvic adhension, 33.61% were endometriosis,3.69% were ovarian cyst,2.87% were pelvic congestion syndrome.22.95% were found pathologic change by B-ultrasonography which were proved by laparoscopy.The accurate rate of B-ultrason ahraphy was 27.45%.Conclusion:Laparoscopy could be a routine and first-chosen method to diagnose CPP,because we can gain the accurate pathogensis of the most of CPP by it.