盆腔静脉血管造影诊断女性静脉瘀血综合症(附67例报告)  

Pelvic Venography for Diagnosis of Female Pelvic Congestion Syndrome: A Report of 67 Cases

作　　者：刘栋志[1] 毕朝燕[1] 吉光辉[1] 朱世鹏[1] 张兰英[2] 

机构地区：[1]贵阳市妇幼保健院放射科,550003 [2]贵阳市妇幼保健院,550003

出　　处：《临床放射学杂志》2000年第10期643-645,共3页Journal of Clinical Radiology

摘　　要：目的　对盆腔静脉形态、走向 ,瘀血症形成机理及诊断价值进行探讨。材料与方法　 6 7例经宫底穿刺作静脉血管造影 ,8例尸解标本。对正常和异常的盆腔静脉形态学和血液动力学进行比较分析。结果　 6 7例诊断为静脉瘀血症 ,轻型 34例 (其中结扎术后 15例 ,占 44.1% ) ,中型 30例 (结扎术后 2 1例 ,占 70 % ) ,重型 3例 (均为结扎术后 )。结扎术后发生率占本组 5 8.2 %。Objective To study the pelvic venous pattern and pathway, and to clarify the mechanism of pelvic congestion syndrome by pelvic venography and comparing with autopsy results.Materials and Methods Pelvic venography by puncturing the fundus of uterus was performed in 67 patients, and a comparison was made between normal and abnormal findings, as well as with additional 8 autopsy findings.Results Mild pelvic congestion syndrome was diagnosed in 34 cases, 15 of which was caused by the ligation of oviduct (44.1%). Thirty cases had moderate pelvic congestion syndrome, of which 21 were due to the ligation of oviduct (70%). Three cases had severe pelvic congestion syndrome and all of them were caused by the ligation of oviduct. In this study the total occurrence of pelvic congestion syndrome due to the ligation of oviduct was 58.2%.Conclusion Pelvic venography is very helpful for the diagnosis of pelvic congestion syndrome, it provides reliable and objective information concerning the pelvic venous pattern and blood flow dynamics.

关 键 词：盆腔静脉瘀血综合征 盆腔静血管造影 诊断 

分 类 号：R816.91[医药卫生—放射医学]