慢性盆腔疼痛:从神经精神角度看妇科问题

Ye.V. Sibirskaya, P.O. Nikiforova
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引用次数: 0

摘要

妇女的慢性盆腔痛(CPP)是一个多因素问题,需要妇产科医生和相关专家的团队合作,采取跨学科的治疗方法。在 80% 的患者中,CPP 的病因是无机物,而每年 40% 的腹腔镜诊断手术和 12% 的子宫切除术都是由无机物引起的。引发 CPP 综合征的病原体反应包括焦虑症、神经衰弱和伴随的高度紧张。一连串的此类反应导致恶性循环的形成。CPP 直接影响妇女的社会生活。约 15%患有 CPP 的妇女无法工作,45% 的妇女工作效率明显降低。治疗 CPP 的心理情感因素是妇产科医生的首要任务。
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Chronic Pelvic Pain: a Neuropsychiatric View of the Gynecological Problem
Chronic pelvic pain (CPP) in women is a multifactorial problem that requires an interdisciplinary approach involving the teamwork of an obstetrician-gynecologist and related specialists. In 80% of patients the causes of CPP are inorganic, while 40% of diagnostic laparoscopic operations and 12% of hysterectomies are performed annually. Pathogenetic reactions triggering CPP syndrome include increased anxiety, neurosis and concomitant high levels of stress. A cascade of such reactions leads to the formation of a vicious circle. CPP directly affects the social life of women. About 15% of women with CPP cannot work, and 45% have a noticeable decrease in productivity. Treatment of the psychoemotional component of CPP is a priority task of an obstetrician-gynecologist.
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