采用经阴道彩色多普勒超声探讨生育史与女性盆腔静脉淤血症的相关性

发布时间：2018-04-14 08:20

本文选题：腹痛 + 静脉曲张　；参考：《中国全科医学》2015年09期

【摘要】：背景很多育龄女性不明原因下腹胀痛是由于盆腔静脉淤血症,因其阳性体征少,易漏诊。目的利用经阴道彩色多普勒超声探讨生育史与女性盆腔静脉淤血症的相关性,从而得出生育史对女性盆腔静脉淤血症的影响。方法选取2013年10月—2014年4月由于下腹坠胀、腰骶疼痛、性交痛、月经不调等原因来佳木斯大学附属第一医院就诊的女性患者198例,行经阴道彩色多普勒超声探查,测量盆腔静脉内径、流速,分析妊娠次数、分娩次数与盆腔静脉内径、流速的相关性,左、右侧盆腔静脉内径、流速的差别。结果 198例患者中盆腔静脉淤血症81例,其中左侧42例,右侧39例。妊娠次数与左、右侧盆腔静脉内径呈正相关(r=0.340,P=0.001;r=0.304,P=0.002);分娩次数与左、右侧盆腔静脉内径呈正相关(r=0.374,P0.001;r=0.361,P0.001)。妊娠次数与左、右侧盆腔静脉流速呈负相关(r=-0.253,P=0.011;r=-0.334,P=0.001);分娩次数与左、右侧盆腔静脉流速呈负相关(r=-0.222,P=0.027;r=-0.287,P=0.004)。左侧盆腔静脉内径大于右侧,左侧盆腔静脉流速低于右侧(P0.05)。结论随着生育次数增加,女性盆腔静脉淤血症的发病可能性增加。育龄女性盆腔静脉内径和流速左、右侧有差异。
[Abstract]:Many women of childbearing age with unexplained abdominal pain due to pelvic congestion syndrome, because of its positive signs, missed diagnosis. To investigate the correlation between reproductive history and female pelvic congestion syndrome by transvaginal color Doppler ultrasound to use so that affect the reproductive history of female pelvic congestion syndrome. Methods from October 2013 to April 2014 due to the lower abdomen swelling, lumbosacral pain, pain during intercourse, 198 female patients cause menstruation to the First Affiliated Hospital of Jiamusi University for treatment of cases, transvaginal color Doppler ultrasound measurement, pelvic vein diameter, velocity analysis, times of pregnancy, childbirth and the number of inner diameter of pelvic vein, velocity correlation, left and right pelvic vein diameter, velocity difference. Results in 198 cases of pelvic congestion syndrome in 81 cases, including 42 cases on the left side, right side in 39 cases. The number of the left and right side of pregnancy, pelvic vein Positive correlation (r=0.340, P=0.001; r=0.304, P=0.002); delivery times with left and right pelvic vein diameter was positively correlated (r=0.374, P0.001; r=0.361, P0.001). The number of pregnancy was negatively correlated with left and right pelvic venous velocity (r=-0.253, P=0.011; r=-0.334, P=; 0.001) delivery times and left, was negatively correlated right pelvic venous velocity (r=-0.222, P=0.027; r=-0.287, P=0.004). The left pelvic vein diameter is larger than the right, the left pelvic venous velocity below the right side (P0.05). Conclusion with the increase in the number of births, increased the incidence of female pelvic vein and possibility of viremia. Women of childbearing age of pelvic vein diameter and blood flow of the left, the right is different.

【作者单位】：佳木斯大学附属第一医院物理诊断室;
【分类号】：R445.1;R711

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