【摘要】：目的探討采用卵巢靜脈栓塞術(shù)治療盆腔淤血綜合征的療效及安全性。方法回顧性分析因慢性盆腔疼痛(CPP)擬診盆腔淤血綜合征(PCS)的患者36例,對確診為PCS的患者以彈簧栓子及聚桂醇泡沫硬化劑栓塞雙側(cè)卵巢靜脈。術(shù)后隨訪12~52個月,評價應(yīng)用卵巢靜脈栓塞治療PCS的技術(shù)方法、臨床療效及并發(fā)癥發(fā)生情況。結(jié)果 28例患者確診為PCS。對28例患者均成功栓塞雙側(cè)卵巢靜脈,技術(shù)成功率為100%。栓塞相關(guān)并發(fā)癥發(fā)生率為3.57%(1/28)�；颊咝g(shù)中平均累積劑量為(80.7±23.7)m Gy,平均劑量面積乘積為(1677.7±570.9)c Gy·cm2。術(shù)后12個月,57.14%(16/28)的患者盆腔疼痛完全緩解,17.86%(5/28)的患者疼痛部分緩解,視覺模擬評分由術(shù)前(7.04±0.64)降至術(shù)后的2.04±2.87(P0.001),術(shù)后12個月的總體臨床有效率為75.00%(21/28)。隨訪過程中,4例患者疼痛癥狀復(fù)發(fā),復(fù)發(fā)時間分別為栓塞后8、13、14及16個月。結(jié)論采用卵巢靜脈栓塞術(shù)治療PCS安全、有效。
[Abstract]:Objective to investigate the efficacy and safety of ovarian vein embolism in the treatment of pelvic congestion syndrome. Methods 36 patients with pelvic congestion syndrome (PCS) diagnosed by (CPP) due to chronic pelvic pain were analyzed retrospectively. bilateral ovarian veins were embolized with spring emboli and polyvinyl alcohol foam sclerosing agent in patients with PCS. The patients were followed up for 12 months for 52 months to evaluate the technical method, clinical efficacy and complications of ovarian vein embolism in the treatment of PCS. Results 28 patients were diagnosed with PCS.. Bilateral ovarian veins were successfully embolized in all 28 patients, and the technical success rate was 100%. The incidence of embolism-related complications was 3.57% (1 鈮，

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