最近审阅: 25 十月 2020
最近更新: 21 五月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 排尿困难
  • 性交疼痛
  • 痛经
  • 腹部激发点
  • 肛提肌压痛
  • 宫颈举痛
  • 子宫压痛
  • 腹部压痛
  • 前庭压痛
  • 直肠压痛
  • 附件压痛
  • 膀胱压痛
  • 尿道压痛

其他诊断因素

  • 腹痛
  • 夜尿
  • 排尿不尽
  • 头痛
  • 排便痛
  • 腰痛

危险因素

  • 性虐待
  • 盆腔炎症性疾病
  • 焦虑或抑郁
  • 滥用药物或酗酒
  • 妊娠
  • 月经频发
  • 既往剖宫产
  • 子宫内膜异位症
  • 粘连

诊断性检查

首要检查

  • 尿液分析
  • 尿液培养
  • 宫颈拭子
  • 盆腔超声检查
  • 利多卡因碱性液膀胱灌注
更多 首要检查

需考虑的检查

  • 盆腔 CT
  • 盆腔 MRI
  • 腹腔镜活检
  • 膀胱镜检查与水扩张
更多 需考虑的检查

治疗流程

撰稿人

Bradford W. Fenton

Consultant

Obstetrics and Gynecology

Independence Park Medical Services

Anchorage

AK

利益声明

BWF is the author of an article cited in this topic.

Dr Bradford W. Fenton would like to gratefully acknowledge the assistance of Dr Jennifer J. Schmitt in producing this topic. JJS declares that she has no competing interests.

同行评议者展开全部内容

Associate Professor and Chief

General Division of Obstetrics and Gynecology

University of Utah School of Medicine

Salt Lake City

UT

利益声明

HS has been reimbursed for attending and participating in conferences on pelvic varicosity pain syndrome by Cook Inc.

Consultant Obstetrics

Obstetrics and Gynaecology

Middlesex Hospital

London

UK

利益声明

CS declares that he has no competing interests.

Consultant Obstetrician and Gynaecologist

Barnet and Chase Farm Hospitals NHS Trust

Urogynaecology Services

Chase Farm Hospital

Enfield

UK

利益声明

DS-O declares that he has no competing interests.

内容使用需遵循免责声明