摘要
盆腔淤血综合征(pelvic congestion syndrome,PCS)是女性慢性盆腔痛(chronic pelvic pain,CPP)的重要病因之一,其特点是由于盆腔静脉瓣膜功能不全及静脉扩张引起的持续性或周期性盆腔痛。文章介绍了PCS相关CPP的病因及发病机制,重点讨论其临床表现、诊断方法及鉴别诊断,包括影像学检查和静脉造影等在明确诊断中的应用。同时,针对PCS的多种治疗策略进行了总结,从保守治疗到介入治疗及手术治疗的疗效和适应证均予以详述。此外,还强调了多学科协作在PCS治疗中的重要性,并探讨了诊治过程中的挑战与未来研究方向。通过深入理解PCS在CPP中的作用并优化相应诊疗方案,可为患者提供更加精准的个体化治疗,从而提高生活质量。
Pelvic congestion syndrome(PCS)isa significant cause of chronic pelvic pain(CPP)in women,characterized by persistent or cyclic pelvic pain resulting from pelvic venous valve insufficiency and venous dilation.This article summarizes the etiology and pathogenesis of PCS-related CPP,focusing on its clinical manifestations,diagnostic methods,and differential diagnosis,and including the role of imaging examination and venography in establishing a definitive diagnosis.Additionally,the article summarizes various treatment strategies for PCS,diccussing in detail the conservative management,interventional approaches,and the indications and efficacy of surgical treatment.Furthermore,the importance of multidisciplinary collaboration in managing PCS is emphasized.Diagnostic and therapeutic challenges and directions for future research are also expolored.By deepening the understanding of the role of PCS in CPP and optimizing the diagnostic and therapeutic regimens,more precise and individualized treatments can be provided to improve patients'quality of life.
作者
王东营
许天敏
WANG Dong-ying;XU Tian-min(Department of Gynecology,the Second Norman Bethune Hospital of Jilin University,Changchun 130000,China)
出处
《中国实用妇科与产科杂志》
北大核心
2025年第8期802-806,共5页
Chinese Journal of Practical Gynecology and Obstetrics
基金
吉林省科技项目计划(YDZJ202302CXJD062)。
关键词
盆腔淤血综合征
慢性盆腔痛
多学科协作
静脉栓塞术
影像学诊断
pelvic congestion syndrome
chronic pelvic pain
multidisciplinary collaboration
venous embolization
imaging diagnosis
