女性绝育术后盆腔静脉瘀血症的临床研究

目的探讨输卵管绝育术后盆腔静脉瘀血症的临床表现、诊断和治疗方法。方法应用腹腔镜技术和盆腔静脉造影,联合诊断５６例患者,对其术后标本作盆腔瘀血静脉病理形态学观察;治疗以手术为主。结果腹腔镜诊断符合率为９４６％（５３／５６）,与盆腔静脉造影比较,对轻度、重度的诊断差异无显著性（Ｐ＞０．０５）。本组病例经治疗后治愈率为６０７％、好转率为１６１％,总有效率为７６８％;其中,手术治疗和保守性治疗的有效率分别为９０１％和１８２％。结论腹腔镜检查对本病的诊断具有重要价值,联合盆腔静脉造影检查,可作为诊断本病的主要依据。对中、重度患者应以手术治疗为宜。

Clinical study on pelvic venous congestion syndrome after tubal sterilization

Objective To study the clinical features, diagnosis and therapy of pelvic venous congestion syndrome after tubal sterilization. Methods By using laparoscopy combined with transmyometrial pelvic venophogram and samples after operation, pathomorphology of pelvic congestion venous is observed. Results The coincidence rate of laparoscopic diagnosis is 94.6% (53/56), compared with transmyometrial pelvic venophogram There is no significant difference for light or severe type patients ( P >0.05). The cure rate of the cases in this group is 60.7%, the improvement rate is 16.1%, total effectiveness rate is 76.8%. The effectiveness rate of operational treatment is 90.1%, conservative treatment is 18.2%. Conclusions Laparoscopy is very valuable for the diagnosis of this disease. Laparoscopy combined with transmyometrial pelvic venophogram can be regarded as the major method to diagnosis pelvic venous congestion syndrome. It is recommended that operation for patients with medium and severe symptoms.