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
- 卫生条件差
- 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
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
治疗流程
妇科疼痛
间质性膀胱炎
纤维肌痛或肛提肌综合征
外阴痛
撰稿人
作者
Bradford W. Fenton, MD, PhD
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.
鸣谢
Dr Bradford W. Fenton would like to gratefully acknowledge the assistance of Dr Jennifer J. Schmitt in producing this topic.
利益声明
JJS declares that she has no competing interests.
同行评议者
Howard Sharp, MD
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.
Chris Spencer, MD
Consultant Obstetrics
Obstetrics and Gynaecology
Middlesex Hospital
London
UK
利益声明
CS declares that he has no competing interests.
Dan Selo-Ojeme, MBA, FWACS, FMCOG, MRCOG
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.
鉴别诊断
- 子宫内膜异位症
- 子宫腺肌病
- 慢性盆腔炎性疾病
更多 鉴别诊断指南
- 慢性盆腔痛
- 慢性盆腔痛
更多 指南患者教育信息
子宫内膜异位症
何为纤维肌痛？
更多 患者教育信息
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