探讨腹腔镜检查联合连续硬膜外阻滞治疗，对于慢性盆腔痛(CPP)的近期(治疗结束第6个月时)及远期(治疗结束1年时)总体疗效。

选择2012年4月至2014年4月，于宜宾市第一人民医院妇科住院治疗的临床确诊为CPP，并符合本研究纳入与排除标准的80例患者为研究对象。根据这80例CPP患者的年龄，将其分为≤35岁组(n＝14)、>35～45岁组(n＝21)、>45～55岁组(n＝38)、>55岁组(n＝7)。同时，根据其腹腔镜下检查的不同病理学类型结果，将其再分为正常盆腔组(n＝10)、慢性盆腔炎组(n＝16)、盆腔黏连组(n＝26)及盆腔淤血组(n＝28)。以上疾病类型在同一位患者中若有交叉，则以病理学类型结果严重者，将该例患者纳入相应疾病组。分别对腹腔镜检查联合连续硬膜外阻滞治疗不同病理学类型组、不同年龄组CCP患者的总有效率，进行统计学分析。

腹腔镜检查联合连续硬膜外阻滞治疗对不同病理学类型组、不同年龄组CCP患者的近期与远期总有效率分别为96.3%(77/80)与92.5%(74/80), 93.8%(75/80)与91.3%(73/80)，总有效率均>91%。不同病理学类型组及不同年龄组CCP患者的近期与远期总有效率分别比较，差异均无统计学意义(P>0.05)。

CPP是多种因素导致的临床综合征，病因复杂，目前临床对CPP的治疗方法尚不统一。采用腹腔镜检查联合连续硬膜外阻滞治疗CPP，其治疗的近期及远期总有效率均较高。

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).

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.

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.

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.