女性慢性盆腔疼痛的治疗

IF 0.3 Q4 OBSTETRICS & GYNECOLOGY JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-09-26 DOI:10.1089/gyn.2023.0066
Jessica Ibañez, Robert S. Ackerman
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引用次数: 0

摘要

女性患者的慢性盆腔疼痛通常使人虚弱,可能有多种原因,通常有多种病因。管理这些疾病的困难与对它们进行具体诊断的困难同时存在。集中和详细的病史和体格检查通常是最有帮助的,可以对疼痛体征和症状进行分类,并提示器官系统处于非稳态状态。诊断性实验室检测和成像通常价值有限。最初的治疗重点是确定骨盆疼痛的具体原因或来源。口服镇痛药、生理和心理治疗、介入性手术和注射对患者具有诊断和治疗双重作用的潜力。手术治疗通常作为最后的治疗选择,不一定能提高诊断评估或增加疼痛缓解。(j妇科外科200xx:000)
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Management of Chronic Female Pelvic Pain
Chronic pelvic pain in the female patient is often debilitating and can arise from a variety of sources, often with multiple etiologies. Difficulties managing these disorders parallel the difficulties in establishing a specific diagnosis for them. A focused and detailed history and a physical examination are often most helpful, categorizing pain signs and symptoms and suggesting an organ system that is not in homeostasis. Diagnostic laboratory testing and imaging are often of limited value. Initial treatment focuses on identification of the specific causes or sources of this pelvic pain. Oral analgesics, physical and psychologic treatments, interventional procedures, and injections have the potential to be both diagnostic and therapeutic for patients. Surgical management is often maintained as a last-line treatment option and may not necessarily enhance diagnostic evaluation or add pain relief. (J GYNECOL SURG 20XX:000)
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来源期刊
JOURNAL OF GYNECOLOGIC SURGERY
JOURNAL OF GYNECOLOGIC SURGERY OBSTETRICS & GYNECOLOGY-
CiteScore
0.50
自引率
33.30%
发文量
69
期刊介绍: The central forum for clinical articles dealing with all aspects of operative and office gynecology, including colposcopy, hysteroscopy, laparoscopy, laser surgery, conventional surgery, female urology, microsurgery, in vitro fertilization, and infectious diseases. The Official Journal of the Gynecologic Surgery Society, the International Society for Gynecologic Endoscopy, and the British Society for Cervical Pathology.
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