A clinical analysis of laparoscopic diagnosis of 857 cases of female chronic pelvic pain

Objective To evaluate diagnostic value of laparoscopy for female chronic pelvic pain(CPP).Methods The clinical data of 857 patients who received laparoscopy due to chronic pelvic pain in Department of Gynecology and Obstetrics,The second Hospital of Shanxi Medical University over a period from 1985 to 2006 were analyzed retrospectively. Results By laparoscopy,769 women(89.73%) were confirmed to have pathologic changes and rest 88 women(10.27%) hadn't any pathologic changes.The first 3 causes of female CPP were endometriosis(363 cases,42.36%),chronic pelvic inflammation and adhesions(217 cases,25.32%),and pelvic congestion syndrome(90 cases,10.50%).Conclusion Laparoscopy can determine the causes of majority of female CPP,so it has become a conventional and first-chosen means for diagnosis of female chronic pelvic pain.