Short-term and long-term overall curative effects of laparoscopy combined continuous epidural block to patients with chronic pelvic pain

Abstract

Objective To study the short-term (at the end of 6-month of treatment) and long-term (at the end of 1-year of treatment) overall curative effects of laparoscopy combined with continuous epidural block in treatment of chronic pelvic pain (CPP). Methods From April 2012 to April 2014, a total of 80 cases CPP patients who were treated in Yibin First People′s Hospital, and in accordance with the inclusion and exclusion criteria of CPP patients in this research were selected as the research subjects. According to the age of CPP patients, they were divided into ≤35-year old group (n=14), >35-45-year old group (n=21), >45-55-year old group (n=38), >55-year old group (n=7). At the same time, according to the different pathological types of laparoscopic examination results, they were divided into normal pelvic group (n=10), chronic pelvic inflammation group(n=16), pelvic adhesions group(n=26) and pelvic congestion group(n=28). If the above pathological types were crossed in one patient, the patient was enrolled into the serious degree pathological type group. By statistical method to analyze the short-term and long-term overall curative effects of laparoscopy combined with continuous epidural block in treatment of CPP. Results Short-term and long-term overall curative effects of laparoscopy combined with continuous epidural block in treatment of CPP in different pathological types groups, and different age groups were 96.3% (77/80) and 92.5%(74/80), 93.8% (75/80) and 91.3% (73/80), respectively, all the overall efficacies were over 91%. There were no significant differences of overall efficacies of long-term and short-term in different pathological types groups and in different age groups (P>0.05), respectively. Conclusions CPP is caused by multiple factors, the clinical syndromes are complicated, and its treatment method is still uncertain currently. Both the short-term and long-term curative effects of laparoscopy combined with continuous epidural block in treatment of CPP are good. Key words: Laparoscopes; Pelvic pain chronic; Analgesia, eidural; Female