慢性骨盆疼痛与骨盆器官脱落之间的相互作用
Maria Thereza Albuquerque Barbosa Cabral Micussi1,2, Vatche Arakel Minassian3, Rachan Mohamed Ghandour3
1Physiotherapy Department, Federal University of Rio Grande Do Norte, Natal, RN, Brazil. mmicussi@bwh.harvard.edu.
International urogynecology journal
|February 4, 2025
概括
骨盆器官脱落 (POP) 手术可以缓解慢性骨盆疼痛 (CPP),特别是当涉及子宫神经带时. 然而,未经治疗的CPP会对手术结果产生负面影响,这凸显了手术前疼痛管理的必要性.
科学领域:
- 妇科 妇科 妇科 妇科
- 疼痛管理 疼痛管理
- 泌尿和妇科 泌尿和妇科
背景情况:
- 慢性盆腔疼痛 (CPP) 影响全球女性人口的很大一部分.
- 骨盆器官脱落 (POP) 是一种常见的疾病,通常与骨盆疼痛有关.
- POP和CPP之间的关系需要进一步研究病因学,危险因素和管理.
研究的目的:
- 审查将骨盆器官脱落 (POP) 与慢性骨盆疼痛 (CPP) 联系在一起的概念.
- 在POP的背景下探索CPP的病因,危险因素,临床发现和疼痛管理策略.
主要方法:
- 进行了文学叙事审查.
- 搜索的数据库包括PubMed和Cochrane系统审查数据库.
- 分析了33个参考文献,以解决审查的目标.
主要成果:
- 在POP中CPP的特定风险因素包括先前存在的疼痛,手术持续时间和组织创伤.
- 在POP手术期间的子宫带修复在缓解CPP方面表现出有效性.
- 以前存在的CPP或中央敏感化综合征可能会导致POP手术后的结果较差,包括较低的满意度和较少的症状解决.
结论:
- POP手术,特别是涉及子宫关节的手术,可以积极影响盆腔疼痛.
- 未经治疗的CPP与患者满意度降低和POP手术后的结果较差有关.
- 在POP手术之前优先进行CPP查和治疗,这对于最佳的结果和生活质量至关重要.
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