本文選題：腹痛 + 靜脈曲張��； 參考：《中國全科醫(yī)學(xué)》2015年09期

【摘要】：背景很多育齡女性不明原因下腹脹痛是由于盆腔靜脈淤血癥,因其陽性體征少,易漏診。目的利用經(jīng)陰道彩色多普勒超聲探討生育史與女性盆腔靜脈淤血癥的相關(guān)性,從而得出生育史對女性盆腔靜脈淤血癥的影響。方法選取2013年10月—2014年4月由于下腹墜脹、腰骶疼痛、性交痛、月經(jīng)不調(diào)等原因來佳木斯大學(xué)附屬第一醫(yī)院就診的女性患者198例,行經(jīng)陰道彩色多普勒超聲探查,測量盆腔靜脈內(nèi)徑、流速,分析妊娠次數(shù)、分娩次數(shù)與盆腔靜脈內(nèi)徑、流速的相關(guān)性,左、右側(cè)盆腔靜脈內(nèi)徑、流速的差別。結(jié)果 198例患者中盆腔靜脈淤血癥81例,其中左側(cè)42例,右側(cè)39例。妊娠次數(shù)與左、右側(cè)盆腔靜脈內(nèi)徑呈正相關(guān)(r=0.340,P=0.001;r=0.304,P=0.002);分娩次數(shù)與左、右側(cè)盆腔靜脈內(nèi)徑呈正相關(guān)(r=0.374,P0.001;r=0.361,P0.001)。妊娠次數(shù)與左、右側(cè)盆腔靜脈流速呈負(fù)相關(guān)(r=-0.253,P=0.011;r=-0.334,P=0.001);分娩次數(shù)與左、右側(cè)盆腔靜脈流速呈負(fù)相關(guān)(r=-0.222,P=0.027;r=-0.287,P=0.004)。左側(cè)盆腔靜脈內(nèi)徑大于右側(cè),左側(cè)盆腔靜脈流速低于右側(cè)(P0.05)。結(jié)論隨著生育次數(shù)增加,女性盆腔靜脈淤血癥的發(fā)病可能性增加。育齡女性盆腔靜脈內(nèi)徑和流速左、右側(cè)有差異。
[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.

【作者單位】： 佳木斯大學(xué)附屬第一醫(yī)院物理診斷室;
【分類號】：R445.1;R711

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本文編號：1748446