Patient-Assisted Laparoscopy Pain Mapping on Endometriosis by Mini-laparoscopy

Objective:To evaluate the collection between endometriosis pain and pathological changes through Patient-Assisted Laparoscopy Pain Mapping(PALPM) of mini-laparoscopy.Methods:Prospective study is formed.Patients with endometriosis underwent patient-assisted laparoscopy pain mapping(PALPM) by mini-laparoscopy.The symptom,sign,examination,and pathological changes were registered.Results:In 25 endometriosis cases that confirmed by mini-laparoscopy,PALPM found that the accordant ratio of pain and pathological change is 90.80%(79/87).Pathological change on sacrum ligament was predilection site for pain.There was higher probability of red lesion occurring pain.Dragged pain caused by pelvic adhesion exceeded tenderness(P0.05).r-AFS scoring system didn't reflect the degree of pain(P=0.141,kappa=0.176).Conclusions:PALPM finds that pathological changes on sacrum ligament occur more often,red pathological change arouses more pain,dragged pain occurs more often than touched pain,r-AFS system can not reflect the degree of pain.