宫疼痛 (Parametropathy) 是慢性盆腔疼痛综合征的诊断工具
Stefan Weinschenk1,2,3, Thomas Strowitzki4, Nura Fitnat Topbas Selcuki5,6
1Department of General Gynecology, Women's Hospital, Heidelberg University, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany. stefan.weinschenk@med.uni-heidelberg.de.
宫运动疼痛,称为参数病变,是慢性盆腔疼痛综合征 (CPPS) 的可靠指标. 这种简单的临床测试可以帮助诊断CPPS,将其从排除诊断转变为确诊条件.
科学领域:
- 妇科 妇科医生 妇科
- 疼痛管理 疼痛管理
- 诊断医学 诊断医学 诊断医学
背景情况:
- 慢性盆腔疼痛综合征 (CPPS) 通常是排除的诊断,缺乏特定的病理标志物.
- 这项研究调查了宫运动的敏感性 (参数变异性) 作为CPPS的潜在诊断指标.
研究的目的:
- 确定参数疗法是否可以作为慢性盆腔疼痛综合征 (CPPS) 的诊断工具.
- 为了评估诊断准确度的paramropathy在确定CPPS.
主要方法:
- 155名18岁以上的女性接受了阴道检查,以评估参数病变的流行率.
- 参数变异症被定义为在双月检查期间阴道的疼痛 (疼痛指数≥2).
- 排除标准包括盆腔瘤,急性炎症,异常出血,缩和怀孕.
主要成果:
- 参数变异 (疼痛指数≥2) 在96.7%的慢性骨盆疼痛患者中存在,而对照组 (p < 0.001) 的患者是7.2%.
- 该测试显示96.7%的灵敏度和92.8%的特异性用于诊断CPPS.
- 阴道超声波探针压力显示出类似但略低的诊断准确度.
结论:
- 宫运动疼痛 (Parametropathy) 是慢性骨盆疼痛综合征 (CPPS) 的一个显著的积极迹象.
- 宫运动测试是有效的查和确认疑似CPPS.
- 将这种测试纳入常规妇科检查可以帮助更确切地诊断CPPS.
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