Diagnostic value of Laproscopy for Etiology of chronic pelvic pain in Women

Etiology of chronic pelvic pain was researched in 142 female patients by using laparoscopy. The results showed as follows: The preoperative pelvic examination found that 120 cases (84. 50%) were caused by 5 gynecologic factors, 6 cases (4. 23 %) were caused by metal factor, 16 cases(11. 27%) were caused by unknawn factor. Laparoscopy found that 130 cases (91. 55 % ) were caused by 8 gynecological factors, 5 cases (3. 52%) were caused by 3 surgical factors, 2 cases (1. 41 % ) were caused by metal factor, 5 cases (3. 52%) were caused by unknown factor. Laparoscopy revealed that chronic pelvic inflammatory disease (40- 14% ) and endometriosis (32. 39 % ) were the most common cause: the error in clinical diagnosis on the two diseases was respectively 28. 57 % and 30. 30% 3 the error between them was 19. 12 %; the error on traumatic laceration of uterine support and non-gynecological factors was 100%. The above indicated that eticology of chronic pelvic pain is complex; the error in etiologic diagnosis by preoperative pelvic examination alone is very high ; laparoscopy is an extremely valuable means for giving the definitive diagnosis on etiology of chronic pelvic pain.