Sukovatykh B S, Belikov L N, Rodionov O A, Rodionova I G, Gorbachev Iu I, Sukovatykh M B
Angiol Sosud Khir. 2004;10(3):73-9.
An analysis was made of the results of an all-round clinical, ultrasound, phlebotonometric and phlebographic examination of 89 patients with the clinical evidence of chronic venous insufficiency (CVI) of the pelvis. It is established that small pelvis varicosis develops because of hemodynamic disorders in the system of the inferior vena cava, iliac and left renal veins. In men, blood reflux from the iliac vein to the parietal tributaries leads to the development of the atypical forms of varicosis. In women, the left- sided regional renal venous hypertension induces valvular insufficiency of the left ovarian vein with the extent of the renoovarian blood reflux to the pampiniform, uterovaginal, presacral, vesical and rectal venous plexus. The concomitant action of the caval and renoovarian blood refluxes causes the origination of the syndrome of the blood overfilling of the pelvic organs and varicosis of the pubis, perineum, vulva, and buttocks. The clinical, ultrasound and phlebographic appearance of small pelvis varicosis is described in detail.
对89例有骨盆慢性静脉功能不全（CVI）临床证据的患者进行了全面的临床、超声、静脉压测量和静脉造影检查，并对结果进行了分析。结果表明，盆腔静脉曲张是由于下腔静脉、髂静脉和左肾静脉系统的血液动力学紊乱所致。在男性中，髂静脉血液反流至壁支 tributaries 会导致非典型静脉曲张的发展。在女性中，左侧区域性肾静脉高压会导致左卵巢静脉瓣膜功能不全，肾卵巢血液反流至精索、子宫阴道、骶前、膀胱和直肠静脉丛。腔静脉和肾卵巢血液反流的共同作用导致盆腔器官血液过度充盈综合征以及耻骨、会阴、外阴和臀部静脉曲张。详细描述了盆腔静脉曲张的临床、超声和静脉造影表现。
