Sukovatykh B S, Rodionov O A, Sukovatykh M B, Khodykin S P
Khirurgiia (Mosk). 2008(6):45-9.
Analysis of complex clinical and ultrasound research in 78 women with chronic pelvic venous insufficiency was carried out. Left-side regional renal venous hypertension leading to valve insufficiency of left ovarian vein with extension of reno-ovarian blood reflux on racemose, uterovaginal, presacral, vesical and rectal venous plexuses was discovered in 100% of patients. Right-side cava-ovarian blood reflux was discovered only in 26.9% of patients and in combination with reno-ovarian lead to complete decompensation of venous outflow from pelvis. Three degrees of blood repletion of small pelvis organs were marked out. At first degree (61.5% of patients) complex drug treatment was carried out, at second degree (18%) - sclerotherapy, at third degree (20.5%) - operative excision of ovarian veins. Perfect results were seen in 35.9% of patients, good results - in 44.9% of patients, satisfactory - in 19.2% of patients. On basis of self-appraisal 80.8% of patients consider their life quality as completely recovered, 15.7% of patients - as improved, 3.5% of patients - without any changes.