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,P<0.001;r=0.361,P<0.001)。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(P<0.05)。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。
Background Unexplained lower abdominal pain in many women of childbearing age is due to pelvic congestion syndrome,whose missed diagnosis is usually due to its lack of positive signs. Objective To investigate the correlation between childbearing history and female pelvic congestion syndrome with transvaginal color Doppler ultrasound in order to understand the influence of childbearing history on female pelvic congestion syndrome. Methods A total of 198 female patients admitted to the First Affiliated Hospital of Jiamusi University due to lower abdominal pain,lumbosacral pain,dyspareunia and irregular menstruation from October 2013 to April 2014 were selected and given transvaginal color Doppler ultrasonography to detect the inner diameter and flow velocity of pelvic vein. The correlation between the times of pregnancy and delivery and the inner diameter and flow velocity of pelvic vein was analyzed. The inner diameter and flow velocity of the left and right pelvic veins were also compared. Results Of the 198 cases,81 had pelvic congestion syndrome,with 42 on the left side and 39 on the right side. The times of pregnancy was positively correlated with the inner diameters of both the left and right pelvic veins（ r = 0. 340,P = 0. 001; r = 0. 304,P = 0. 002）; the times of delivery was positively correlated with the inner diameters of both the left and right pelvic veins（ r = 0. 374,P 0. 001; r = 0. 361,P 0. 001）. The times of pregnancy was negatively correlated with the flow velocity of both the left and right pelvic veins（ r =- 0. 253,P = 0. 011; r =- 0. 334,P = 0. 001）; the times of delivery was negatively correlated with the flow velocity of both the left and right pelvic veins（ r =- 0. 222,P = 0. 027; r =- 0. 287,P= 0. 004）. Compared with the right pelvic veins,the left pelvic veins had significantly larger inner diameter and significantly lower flow velocity（ P〈0. 05）. Conclusion The increase of the times of childbearing may raise the possibility of pelvic congestion syndrome. There are differences between the right and left pelvic veins in females of childbearing age.
出处
《中国全科医学》
CAS
CSCD
北大核心
2015年第9期1098-1101,共4页
Chinese General Practice
关键词
腹痛
静脉曲张
超声检查
多普勒
彩色
生育史
Abdominal pain
Varicose veins
Ultrasonography
Doppler
color
Reproductive history
