Bredikhin R A, Ignat'ev I M, Fomina E E, Volodiukhin M Iu, Gaptravanov A G, Mikhaĭlov M K
Angiol Sosud Khir. 2012;18(1):63-9.
The study was based on the findings of examination and treatment of fifty-four 19-to-55- year-old female patients (mean age 35.3 ± 7.3 years) presenting with varicosity of small pelvis veins. Of these, seventeen women with stenosis of the left renal vein were subjected to the following reconstructive operations on small pelvis veins: creating proximal ovarian-iliac anastomoses - 10 procedures, establishment of sapheno-ovarian anastomoses - 5 operations, one procedure of prosthetic repair of the left renal vein and one operation of transposition of the left renal vein. All interventions were completed with resection of the distal segments of the ovarian vein. A further 19 women with idiopathic reflux along the ovarian veins underwent uni- or bilateral embolization thereof, with multi-stage embolization of the branches of the internal iliac vein performed in one patient. The remaining eighteen endured the following interventions: unilateral resection of the left ovarian vein performed in twelve cases (3 endoscopic operations), bilateral resection in four cases (3 endoscopic resections). In seven cases the operations were supplemented with microphlebectomy of the varicosely altered perineal veins. Two patients underwent operations of crossectomy and resection of the pathologically altered internal pudendal vein. Five-year follow up showed that good-to-satisfactory results were obtained in 45 (83.3%) cases, with a disease relapse revealed in seven cases.
该研究基于对54例19至55岁患有盆腔静脉静脉曲张的女性患者（平均年龄35.3±7.3岁）的检查和治疗结果。其中，17例左肾静脉狭窄的女性患者接受了以下盆腔静脉重建手术：近端卵巢 - 髂静脉吻合术10例，大隐静脉 - 卵巢吻合术5例，左肾静脉人工修复术1例，左肾静脉转位术1例。所有干预措施均在切除卵巢静脉远端段后完成。另外19例患有特发性卵巢静脉反流的女性患者接受了单侧或双侧栓塞治疗，其中1例患者对髂内静脉分支进行了多阶段栓塞。其余18例患者接受了以下干预措施：12例（3例内镜手术）进行了左侧卵巢静脉单侧切除术，4例（3例内镜切除术）进行了双侧切除术。7例手术中还补充了对曲张改变的会阴静脉进行微静脉切除术。2例患者接受了交叉切除术和切除病理性改变的阴部内静脉手术。五年随访显示，45例（83.3%）患者取得了良好至满意的结果，7例出现疾病复发。
