Clinical application of hysteroscopy and laparoscopy in diagnosis and treatment of chronic pelvic pain

Objective: To explore the clinical application of hysteroscopy combined with laparoscopy in diagnosis and treatment of chronic pelvic pain ( CPP) . Methods: 80 patients with CPP were diagnosed and treated by laparoscopy and hysteroscopy,ultrasound exam- ination before operation and follow - up on time after operation were carried out,the gynecological pathogenic factors of patients with CPP were classified and divided,and the curative effect was analyzed. Results: 74 patients and 53 patients with pelvic or/and intrauterine abnor- malities were found by laparoscopy combined with hysteroscopy and ultrasound,respectively,accounting for 92. 50% and 66. 25% ,there was significant difference ( P 0. 005) ; 34 patients were found with simple pelvic lesions,accounting for 42. 50% ; 25 patients were found with coexistence of intrauterine lesions and pelvic lesions,accounting for 31. 25% ; 15 patients were found with simple intrauterine lesions, accounting for 18. 75% ; 6 cases were normal,accounting for 7. 50% . Pelvic pathogenic factors: endometriosis ( 32. 50% ) ,chronic pelvic inflammatory disease ( 13. 75% ) ,pelvic adhesion ( 12. 50% ) ,pelvic tumors ( 12. 50% ) and pelvic congestion syndrome ( 2. 50% ) ; intra- uterine pathogenic factors: endometrial polyp ( 23. 75% ) ,submucosal hysteromyoma ( 7. 50% ) ,endometrial hyperplasia ( 6. 25% ) and in- trauterine adhesion ( 5. 00% ) ; After combined treatment of hysteroscopy and laparoscopy,the effect rates of endometriosis,chronic pelvic inflammatory disease,pelvic adhesion,pelvic tumors and simple intrauterine lesions were 88. 46% ,90. 91% ,90. 00% ,90. 00% and 66. 67% ,respectively,the total effect rate was 81. 25% ( 65 patients) . Conclusion: The incidences of endometriosis and endometrial pol- yp are the highest in patients with CPP. Hysteroscopy can provide intrauterine pathogenic factors for CPP clearly,hysteroscopy combined with laparoscopy is an effective method in diagnosis and treatment of CPP.