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1990年6月至1995年5月,对女性绝育术后慢性腹痛患者经腹腔镜诊断为盆腔静脉淤血症46例,检查后施行盆腔静脉造影32例。手术37例次,其中经盆腔静脉造影24例,腹腔镜检查后直接手术13例。通过腹腔镜检查,观察盆腔静脉血管显露、曲张或怒张等形态学改变及其范围,并且根据患者由平卧位改变成头低臀高60°位,拨动举宫器使子宫变成前屈位,计算盆腔静脉血流消失时间,拟订了女性绝育术后盆腔静脉淤血症腹腔镜下诊断标准。按此标准与盆腔静脉造影诊断标准作比较,两者无显著性差异(P>005),与手术中盆腔静脉血管表现和术后病理检查均相符合,证明腹腔镜术是可以作为诊断盆腔静脉淤血症的客观依据之一。
From June 1990 to May 1995, 46 cases of pelvic venous congestion were diagnosed by laparoscopy in patients with chronic abdominal pain after sterilization. 32 cases were examined by pelvic venography. 37 cases of surgery, of which 24 cases by pelvic venography, laparoscopy after direct surgery in 13 cases. Through laparoscopy to observe the pelvic venous vascular manifestations, varicose or anger and other morphological changes and its scope, and according to the patient from the supine position to change the head low hip height 60 °, dial the uterus to the uterus into the former Flexion, calculate the disappearance of pelvic venous flow time, developed a laparoscopic diagnostic criteria for pelvic venous congestion after sterilization. According to this standard and pelvic venography contrast diagnostic criteria for comparison, there was no significant difference between the two (P> 0 05), and pelvic venous blood vessels in operation performance and postoperative pathological examination are consistent, that laparoscopy can be used as a diagnosis Pelvic venous congestion one of the objective basis.