chronic pelvic-pain-27-1-2008 the best ppt
TRANSCRIPT
- 1. ..., 1
- 2. ACROPOLIS, NICE, 11-13 JUNE 2015 1st World Congress on Abdominal & Pelvic Pain 30 May 2013 to 1 Jun 2013 Amsterdam, The Netherlands 2
- 3.
- 4. - . : , .
- 5. , * * INTERNATIONAL ASSOCIATION FOR THE STUDY OF PAIN
- 6.
- 7. : . , . . .
- 8. 8 , , , , , ( )
- 9. 9 , (, ) : , , , . : ,
- 10. 10 (, ) ,
- 11. 11 . . . "" , 1893-1910 . 2012 . Sotheby's 120 .
- 12. . . . . , .
- 13. 13
- 14. /
- 15. , /
- 16. , . , , , , , , .. ( ).
- 17. PQRST P: Palliative , ? Q: Quality, ? R: Radiation, -? S: Severity, ? T: Temporal factors, , ?
- 18. . . , .
- 19. / , : , , . e (VAS) Brief Pain Inventory (BPI), Mc Gill Pain Questionnaire.
- 20. 20 Mc Gill-. McGill Pain Questionnaire, Melzack Torgerson 1971 . , . 1-10, 11-15, 17-20.
- 21. 21
- 22. 6 , , , - , , . ACOG Practice Bulletin No. 51. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2004;103:589-605.
- 23. , , , , . . (adopted from ICS 2002)
- 24.
- 25.
- 26. >9 1 20% 2 10% 3 20% 4 12 -18 % 5 .1 1. Mathias SD et al. Obstet Gynecol. 1996;87:321-327. 2. Jamieson DJ, Steege JF. Obstet Gynecol. 1996;87:55-58. 3. Reiter RC. Clin Obstet Gynecol. 1990;33:130-136. 4. Howard FM. Obstet Gynecol Surv. 1993;48:357-387. 5. Carlson KJ et al. Obstet Gynecol. 1994;83:556-565.
- 27. 38 21 37 41 10 20 30 40 50 60 70 80 90 100 1000 Cross-sectional analysis by UK Mediplus Primary Care database. Zondervan KT et al. Br J Obstet Gynaecol. 1999:106;1149-1155. N=24,053
- 28. 100% 100%
- 29. ACOG Practice Bulletin Number 51; March 2004 , , . 38-85% IC ACOG Practice Bulletin No. 51. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2004;103:589-605.
- 30. . ! Diagnosis Study 1: Chung et al1 (n=60) Study 2: Chung et al2 (n=178) IC/PBS 90% 89% Endometriosis 80% 75% Both 70% 65% Two Studies Confirm the Overlap Between IC and Endometriosis1,2 1. Chung MK et al. J Soc Laparoendosc Surg. 2002;6:311-314. 2. Chung MK et al. J Soc Laparoendosc Surg. 2005;9:25-29
- 31. 31 10% 20% 70% 1. Chung MK et al. JSLS. 2002;6:311-314. , , 1
- 32. 80% 2 61% 1 30% 10 1. Mathias SD et al. Obstet Gynecol. 1996;87:321-327. 2. Carter JE. J Am Assoc Gynecol Laparos. 1994;2:43-47. 3. Dlugi AM et al. Fertil Steril. 1990;54:419-427. 4. Carlson KJ et al. Obstet Gynecol. 1994;83:556-565. 5. Kjerulff KH et al. Obstet Gynecol. 2000;95:319-326. 6. Kjerulff KH et al. Am J Obstet Gynecol. 2000;183:1440-1447. 7. Stovall TG et al. Obstet Gynecol. 1990;75:676-679. 8. Hillis SD et al. Obstet Gynecol. 1995;86:941-945. 9. Hartmann KE, et al. Obstet Gynecol. 2004;104:701-709. 10. Zondervan KT et al. Br J Obstet Gynaecol. 1999;106:1156-1161. 5% 26% 1 4-9 54% , 3
- 33. / / /
- 34.
- 35. : , , , . : , , , , , . : , - .
- 36. / / ,
- 37. / 37
- 38. (Tunel test) , , 1 + 2 2
- 39. : , (), , - . : , , , , : : , , , ?
- 40. / / / / /
- 41. 3 5, 4 40 2% - . , (/ , )
- 42. (. Le Penseur) . 18801882 . .
- 43.
- 44. - , , . 44