节育术后慢性盆腔痛

摘要/Abstract

摘要：

女性节育术后可发生慢性盆腔痛（CPP）。输卵管绝育术后CPP的主要原因有盆腔炎性疾病、大网膜粘连综合征、盆腔淤血综合征，神经官能症也是病因之一。妇科检查、影像学检查和腹腔镜检查可明确诊断；宫内节育器（IUD）放置后的CPP主要与IUD位置异常有关，X线与B超联合检查、腹腔镜检查是重要的检查方法。CPP治疗前首先要明确诊断，针对病因治疗是关键。

Abstract:

Abstract:Chronic pelvic pain (CPP) could appear following female birth control procedures,which consist of tubal sterilization and intrauterine contraceptive device (IUD).The main causes of CPP after tubal sterilization are pelvic inflammatory disease (PID),omentum adhesion syndrome (OAS),pelvic congestion syndrome (PCS),and neurosis as well.The diagnosis can be made by pelvic examination,medical imaging studies and laparoscopy.CPP after IUD insertion is closely related to ectopic IUD.The combination of X-ray and ultrasonography is important and useful in the diagnosis,and laparoscopy is also important in the diagnosis of severe cases.It is necessary and critical for CPP causes to be found out before the treatment.

中图分类号:

R711

王萍1，刘建华2. 节育术后慢性盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 177-180.

参考文献

[1］ Williams RE,Hartmann KE,Steege JF.Documenting the current definitions of chronic pelvic pain: implications for research
[J].Obstet Gynecol,2004，103：686- 691.

[2］王仲勋．59例输卵管结扎术后慢性腹痛诊治分析
[J]．中国计划生育学杂志，2003，11(2)：120-121．

[3］陈小影.输卵管绝育术后慢性腹痛的腹腔镜诊断与治疗
[J].中国计划生育杂志,2005,121（11）：688.

[4］曹缵孙，陈晓燕.妇产科综合征
[M].北京：人民卫生出版社，2003：285-289.

[5］ Istanbulluoglu MO,Ozcimen EE,Ozturk B,et al.Bladder perforation related to intrauterine device
[J].J Chin Med Assoc，2008，71(4):207-209.

[6］ Migraci Tosun MD,Handan Celik MD,Erhan Yavuz MD,et al.Intravesical migration of an intrauterine device detected in a pregnant woman
[J].Can Urol Assoc J，2010，4(5):141-143.

[7］ Yensel U,Bezircioglu I,Yavuzcan A,et al.Migration of an intrauterine device into the bladder: a rare case
[J].Arch Gynecol Obstet，2009，279(5):739-742.

[8］乐杰.妇产科学
[M].7版.北京：人民卫生出版社，2008：366.

[9］ The ESHRE Capri Workshop Group.Intrauterine devices and intrauterine systems
[J].Human Reprod Update，2008，14(3):197-208.

[10］ Brunner SM,Comman A,Gaetzschmann P,et al.Laparoscopic removal of a perforating intrauterine device mimicking chronic appendicitis
[J].J Laparo Adv Sur Tech,2008，18(4):609-610.

[11］刘嘉林，余小舫，鲍世韵，等．有开腹手术史患者腹腔镜术前超声判断腹腔粘连的价值
[J]．中华消化内镜杂志,2006，23(1):19.

[12］ Edwards RD，Robertson IR，Maclean AB，et al．Case report：pelvic pain syndrome--successful treatment of a case by ovarian vein embolization
[J]．Clin Radiol，1993，47(6)：429-431.

[13］谢哗玲．腹腔镜诊断治疗慢性盆腔痛92例临床分析
[J]．腹腔镜外科杂志，2005，10(5):264-266．

[14］ Capasso P,Simons C,Trotteur G,et al.Treatment of symptomatic pelvic varices by ovarian vein embolization
[J]．Cardiovasc Intervent Radiol,1997，20(2)：107-111.

[15］ Maleux G,Stock L,Wilms G,et al.Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results
[J].J Vasc Interv Radiol,2000,11:859-864.

[1]	冷金花. 重视慢性盆腔痛的诊治[J]. 中国实用妇科与产科杂志, 2013, 9(3): 161-163.
[2]	陈正云，林俊. 子宫内膜异位症与慢性盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 164-167.
[3]	肖喜荣，李斌. 盆腔淤血综合征与慢性盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 167-170.
[4]	秦君璞，张帝开. 盆腔炎性疾病与盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 170-173.
[5]	狄文，梁舟. 妇科恶性肿瘤与盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 173-175.
[6]	车艳辞，戴淑真. 盆腔脏器术后致盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 175-177.
[7]	王惠兰，张溪，杜辉. 女性生殖道畸形与盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 180-183.
[8]	杨欣. 非妇科因素致慢性盆腔痛[J]. 中国实用妇科与产科杂志, 2013, 9(3): 183-186.
[9]	许洪梅1，张震宇2. 腹腔镜清醒疼痛定位在慢性盆腔痛诊治中的应用[J]. 中国实用妇科与产科杂志, 2013, 9(3): 186-188.
[10]	武昕，钟艳芬. 慢性盆腔痛的非手术治疗[J]. 中国实用妇科与产科杂志, 2013, 9(3): 189-191.