{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-LEGQ9GEU/8fee0c1e-5b62-4338-87d3-a161ca0007f6/HTML","dcterms:extent":"27 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-LEGQ9GEU/7b1b661e-0052-4f51-aec9-9b94dc5422db/PDF","dcterms:extent":"101 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-LEGQ9GEU/1173dd5f-9f2b-48ce-b606-1882491aaab4/TEXT","dcterms:extent":"22 KB"}],"edm:TimeSpan":{"@rdf:about":"1929-2026","edm:begin":{"@xml:lang":"en","#text":"1929"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-LEGQ9GEU","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-a30mfzkp"},{"@xml:lang":"sl","#text":"Zdravniški vestnik"}],"dcterms:issued":"2003","dc:creator":["Domazet-Fink, Jadranka","Kobal, Borut"],"dc:format":[{"@xml:lang":"sl","#text":"letnik:72"},{"@xml:lang":"sl","#text":"str. II-139-II-142"},{"@xml:lang":"sl","#text":"številka:supl. 2"}],"dc:identifier":["ISSN:1318-0347","COBISSID:16667097","URN:URN:NBN:SI:doc-LEGQ9GEU"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"dc:subject":[{"@xml:lang":"sl","#text":"Dejavniki tveganja"},{"@xml:lang":"en","#text":"Diagnosis"},{"@xml:lang":"en","#text":"diagnostika"},{"@xml:lang":"en","#text":"Etiology"},{"@xml:lang":"sl","#text":"ginekologija"},{"@xml:lang":"en","#text":"Laparoscopy"},{"@xml:lang":"sl","#text":"Laparoskopija"},{"@xml:lang":"sl","#text":"Medenična bolečina"},{"@xml:lang":"en","#text":"Pelvic Pain"},{"@xml:lang":"sl","#text":"pelvična bolečina"},{"@xml:lang":"en","#text":"Risk Factors"},{"@xml:lang":"en","#text":"Ultrasonography"},{"@xml:lang":"en","#text":"ultrasound"},{"@xml:lang":"sl","#text":"ultrazvok"}],"dcterms:temporal":{"@rdf:resource":"1929-2026"},"dc:title":{"@xml:lang":"sl","#text":"Vloga laparoskopije pri odkrivanju vzrokov kronične pelvične bolečine| The role of laparoscopy in discovering the causes of chronic pelvic pain|"},"dc:description":[{"@xml:lang":"sl","#text":"Background. The aim of this study was to assess the share of organic changes in patients with chronic pelvic pain (CPP) as well as evaluate the need for invasive CPP diagnostics - laparoscopy. Methods. The data for the analysis were gathered retrospectively from the descriptions of 287 CPP patients who were treated at the Clinic of Gynaecology in Ljubljana from 1993 to 1999. In this analysis the share of laparoscopically established organic causes of CPP was assessed and the findings of invasive (laparoscopy) and non-invasive diagnostics (clinical status and ultrasound) were compared. Results. Out of 287 patients, 272 underwent laparoscopy, 7 underwent laparotomy while 8 were only observed. As regards organic CPP causes, an organic cause was establishedin 70.7% patients through laparoscopy. The most frequently observedphenomena were adhesions, namely in 97 (35.7%) patients, endometriosisin 68 (25.0%) and pelvic varices in 29 (10%) patients. By comparing the results of invasive and non-invasive diagnostics it was established that up to three times more organic changes - a possible cause of CPP - can be discovered through laparoscopy than through the use of non-invasive diagnostics methods. Conclusions. Laparoscopy is considered to bethe most reliable method of diagnostics and detection of organic causes of CPP. An adequate psychological treatment within a multidisciplinary approach is necessary in patients in whom an organic cause of CPP can not be discoveredin their genital tract"},{"@xml:lang":"sl","#text":"Izhodišča. Namen analize je bil ugotoviti delež organskih sprememb pri bolnicah s kronično pelvično bolečino (KPB) in ovrednotiti potrebo po invazivni diagnostiki - laparoskopiji. Metode. Podatke za analizo smo zajeli retrospektivno iz popisov 287 bolnic s KPB, ki so bile zdravljene na Ginekološki kliniki v Ljubljani v obdobju 1993 do 1999. V analizi smo ocenili delež laparoskopsko ugotovljenih organskih vzrokov za KPB in primerjali ugotovitve invazivne (laparoskopija) in neinvazivne diagnostike (klinični status in UZ). Rezultati. Od 287 bolnic je bilo 272 laparoskopiranih, 7 laparotomiranih in 8 samo opazovanih. Med organskimi vzroki za KPB smo z laparoskopijo organski vzrok ugotovili pri 70,7% bolnic. Najpogosteje smo ugotovili zarastline pri 97 (35,7%) bolnicah, endometriozo pri 68 (25,0%) in pelvične varice pri 29 (10%) bolnicah. Ob primerjanju rezultatov invazivne in neinvazivne diagnostike smo ugotovili, da z laparoskopijo odkrijemo do trikratveč organskih sprememb, ki so lahko vzrok KPB, kot pa samo z metodami neinvazivne diagnostike. Zaključki. Laparoskopija predstavlja najzanesljivejšinačin diagnostike odkrivanja organskih vzrokov KPB. Pri bolnicah, pri katerih na rodilih ne odkrijemo organskega vzroka za KPB, je v smislu multidisciplinarnega pristopa potrebna ustrezna psihoterapevtska obravnava"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-LEGQ9GEU","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-LEGQ9GEU"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-LEGQ9GEU/7b1b661e-0052-4f51-aec9-9b94dc5422db/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Slovensko zdravniško društvo"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-LEGQ9GEU/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-LEGQ9GEU"}}}}