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盆腔痛是育龄妇女常见症状,往往难以明确诊断。在缺乏明显病理改变时常被认为是结肠激惹综合征。最近有人提出盆腔充血是盆腔痛的另一个原因。为了获得有效治疗,需对两者做出鉴别。盆腔充血典型表现为下腹部钝痛,阵发性加重。结肠激惹综合征典型表现为腹膨隆,疼痛发作时大便次数增多,大便变稀,排便后疼痛缓解,同时还可有腹痛、便稀或腹泻。本文报道了盆腔充血引起的盆腔痛患者的排便情况,并与结肠激惹综合征进行比较。以35例原因不明的盆腔痛妇女为研究对象,后经子宫静脉造影证实为盆腔充血,采用调查表详细记录疼痛特点和排便习惯。受试者平均年龄29岁,49%为未产妇女,平均疼痛时间45个月,77%有痛
Pelvic pain is a common symptom of women of childbearing age, often difficult to confirm the diagnosis. In the absence of significant pathological changes are often considered colon irritation syndrome. It has recently been suggested that pelvic congestion is another cause of pelvic pain. In order to obtain effective treatment, the two need to be identified. Typical pelvic congestion was abdominal dull pain, paroxysmal aggravate. Colonic irritability syndrome typically presents with bulging abdomen, increased frequency of stools during episodes of pain, thinning of stools, post-defecation pain relief, and abdominal pain, thinning or diarrhea. This article reports the defecation in pelvic pain caused by pelvic congestion and compared with colon irritation syndrome. 35 cases of unexplained pelvic pain women as the object of study, confirmed by uterine vein angiography pelvic congestion, the use of questionnaires detailed record of pain characteristics and bowel habits. The average age of the subjects was 29 years, 49% were women who did not give birth, the average pain time of 45 months, 77% had pain