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当你什么都看不到的时候: 阴性腹腔镜检查后的结果. 一个系统的审查

Lucy A Steele¹, Samantha S Mooney^2,3, Ebony S Gilbee²

¹School of Medicine, Austin Hospital Clinical School, Victoria, Melbourne, Australia.

The Australian & New Zealand journal of obstetrics & gynaecology

|September 22, 2023

概括

阴性腹腔镜检查后的持续性骨盆疼痛 (PPP) 管理尚不清楚. 大多数妇女经历持续的疼痛和生活质量的变化,表明需要更好的基于证据的指导方针.

科学领域:

妇科妇科妇科妇科
外科手术的结果
疼痛管理疼痛管理

背景情况:

持续的盆腔疼痛 (PPP) 是一种复杂的疾病,常常具有难以捉摸的病因.
许多患有PPP的女性接受了腹腔镜检查,但没有明显的病理 (负腹腔镜检查).
目前对PPP中阴性腹腔镜的管理指南缺乏,患者的治疗结果不明.

研究的目的:

系统地审查和总结有关女性经验和结果的文献,以后的阴性腹腔镜检查PPP.
确定与疼痛,生活质量 (QoL),对护理的满意度和整体管理相关的结果.

主要方法:

在Ovid Medline,PubMed和Embase进行了系统的文献搜索.
包括的研究是用英语进行的,重点研究的是阴性腹腔镜检查后PPP妇女的结果.

主要成果:

包括四项涉及200名女性的研究,但结果不一致.
三项研究报告了大多数女性在阴性腹腔镜后持续疼痛;一项研究发现明显改善.
生活质量的结果是混合的,一些研究报告了积极的影响,而另一些报告了负面影响.

结论:

阴性腹腔镜对PPP疼痛和QoL的影响在很大程度上是未知的,因为证据不足.
在了解持续的骨盆疼痛的外科治疗策略方面存在很大的差距.
需要基于证据的实践指南来指导PPP阴性腹腔镜检查后的管理.

关键词:

慢性疼痛是一种慢性疼痛.子宫内膜异位症是什么?子宫内膜异位症是什么一个女人,一个女人,一个女人.腹腔镜检查是指腹腔镜检查.盆腔疼痛盆腔疼痛盆腔疼痛

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