On laparoscopy in chronic pelvic pain diagnosis and treatment of.docVIP

On laparoscopy in chronic pelvic pain diagnosis and treatment of [Keywords:] Laparoscopy for chronic pelvic pain Chronic pelvic pain (chronic pelvic pain, CPP) is a common gynecological diseases, a variety of tissues and organs of abdominal cavity can cause dysfunction. Tettambel [1] found that 5% of women suffering from CPP. China is still a lack of relevant research data, but long-term patients with lower abdominal pain remains a common cause of treatment in gynecology. As CPP complex causes, and most non-invasive diagnostic methods can not clear cause, resulting in difficulty in diagnosis, treatment blind. laparoscopic diagnosis and treatment of the development of the CPP provides a new means. now our hospital in 86 cases of laparoscopic diagnosis and treatment of CPP in the report are as follows. Subjects and methods 1. Target: June 2008 ~ December 2009 for CPP in our hospital 86 cases of laparoscopic surgery. Aged 25 to 56 years (mean 34.7 + -2.9 years); duration of 0.5 to 8 years (mean 4.3 + -2.6) years; married 84.9% (73/86), unmarried, 15.1% (13/86). a history of abortion accounted for 26.7% (23/86), all kinds of surgery accounted for 32.6% (28/86 .) 2. Laparoscopic examination and diagnosis: all patients collected by the hand history, gynecological examination and B-ultrasound, such as the need to add condition to do pelvic CT examination, the examination without exception, were excluded from laparoscopic surgery contraindications clean after menstruation 3 ~ 7 d for laparoscopic surgery (using the Olympus endoscope and television camera surveillance system). Patients were bladder lithotomy position, conventional disinfection shop single, general anesthesia, pneumoperitoneum pneumoperitoneum needle injection of CO2 formation. became the first low hip High 20 ° position, since the navel with the needle tube (Trocar) successful puncture, placed in laparoscopy. sequence observed abdominal organs, focusing on observation of uterine morphology,