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目的:探讨盆腔静脉淤血综合征的诊治体会。方法:选择我院2008年5月—2011年8月确诊为盆腔静脉淤血综合征的患者25例,年龄为24—43岁,孕次1—5次,产次1—3次,患者均有不同程度的下腹坠痛、极度疲劳感,低位腰痛11例,性交疼痛或不适13例,月经量和白带增多12例,尿道疼痛5例,具有以上所有症状的患者6例,行输卵管结扎术3例。所有患者均采用保守治疗,每日早晚胸膝卧位,纠正便秘,适当的进行缩肛功能锻炼。严重患者采取手术治疗,治疗后对患者进行随访6—12个月。结果:25例患者中,痊愈19例(76%),有效5例(20%),无效1例(4%),总有效率为96%。其中2例严重患者进行手术治疗,1例行子宫全切术,1例行子宫动脉栓塞术。结论:对盆腔静脉淤血综合征要注意临床表现,通过辅助检查和妇产科医师检查确诊。
Objective: To investigate the diagnosis and treatment of pelvic venous congestion syndrome. Methods: 25 cases of pelvic venous congestion syndrome were selected from May 2008 to August 2011 in our hospital. The patients were 24-43 years old, 1-5 times of pregnancy and 1-3 times of delivery. All patients had 11 cases of low back pain, 13 cases of pain or discomfort during sexual intercourse, 12 cases of increased menstrual flow and vaginal discharge, 5 cases of urethral pain, 6 cases of all the above symptoms, underwent tubal ligation 3 example. All patients were treated conservatively, chest and knee supine daily morning and evening, correct constipation, appropriate anal function exercise. Serious patients with surgical treatment, after treatment, patients were followed up for 6-12 months. Results: Of the 25 patients, 19 were cured (76%), 5 were effective (20%), 1 was ineffective (4%), and the total effective rate was 96%. Two cases of severe patients underwent surgical treatment, 1 case of hysterectomy and 1 case of uterine artery embolization. Conclusion: The pelvic venous congestion syndrome should pay attention to clinical manifestations, confirmed by laboratory examinations and obstetrician examination.