盆腔淤血综合征的介入诊断与治疗  

Interventional Diagnosis and Treatment of Pelvic Congestion Syndrome

作　　者：李刚[1] 陈登明[1] 陈常勇[1] 胡康新[1] 

机构地区：[1]中南大学湘雅医院介入放射科,长沙410008

出　　处：《临床放射学杂志》2009年第3期400-402,共3页Journal of Clinical Radiology

摘　　要：目的探讨盆腔淤血综合征(PCS)的介入诊断与治疗效果。资料与方法采用选择性卵巢静脉造影术,分别对15例临床怀疑为PCS患者进行选择性卵巢静脉造影,在造影明确诊断PCS后,进一步选择性插管,同时用2～3枚弹簧圈完全栓塞卵巢静脉。结果15例卵巢静脉造影显示均有不同程度的卵巢静脉丛迂曲扩张,管腔直径达8～32 mm,14例静脉廓清时间≥20 s,1例<20 s,15例造影后均行卵巢静脉栓塞术,术后2～7天腹痛症状明显缓解或消失。结论选择性卵巢静脉造影术是诊断PCS的可靠方法,同时便于栓塞治疗,选择性卵巢静脉栓塞治疗快捷、微创、疗效确切。Objective To explore the effectiveness of interventional diagnosis and treatment of Pelvic congestion syndrome （PCS）. Materials and Methods Using selective ovarian venography, 15 patients clinically suspected with PCS underwent selective ovarian venography. After making a confirmed diagnosis of PCS through venography, the catheter was further inserted into the vein. Using 2 - 3 coils, the ovarian vein was eompletly embolized. Results The ovarian vein plexus of 15 cases showed various degrees of dilatation ,with diameters of 8 - 32 mm. 14 cases had venous clearance time 1〉20s, one had venous clearance time 〈 20s. All the patients underwent ovarian vein embolization after venography. Pain syndroms decreased significantly or disappeared 2 -7 days after operation. Conclusion Selective ovarian venography is the best method to diagnose PCS, and at the same time embolization treatment can be carried out. Selective ovarian vein embolization is a rapid, minimally invasive and effective treatment.

关 键 词：盆腔淤血综合征 介入诊断 介入治疗 

分 类 号：R711[医药卫生—妇产科学] R445[医药卫生—临床医学]