盆腔淤血综合征：疼痛的病因、诊断及临床管理
Pelvic congestion syndrome: etiology of pain, diagnosis, and clinical management.
作者信息
Phillips Darci, Deipolyi Amy R, Hesketh Richard L, Midia Mehran, Oklu Rahmi
机构信息
Harvard Medical School, and Department of Imaging, Massachusetts General Hospital, 55 Fruit Street, 290 Gray/Bigelow, Boston, MA 02114.
Harvard Medical School, and Department of Imaging, Massachusetts General Hospital, 55 Fruit Street, 290 Gray/Bigelow, Boston, MA 02114; Division of Interventional Radiology, Massachusetts General Hospital, 55 Fruit Street, 290 Gray/Bigelow, Boston, MA 02114.
出版信息
J Vasc Interv Radiol. 2014 May;25(5):725-33. doi: 10.1016/j.jvir.2014.01.030.
Pelvic congestion syndrome is associated with pelvic varicosities that result in chronic pelvic pain, especially in the setting of prolonged standing, coitus, menstruation, and pregnancy. Although the underlying pathophysiology of pelvic congestion syndrome is unclear, it probably results from a combination of dysfunctional venous valves, retrograde blood flow, venous hypertension, and dilatation. Asymptomatic women may also have pelvic varicosities, making pelvic congestion syndrome difficult to diagnose. This article explores the etiologies of pain, use of imaging techniques, and clinical management of pelvic congestion syndrome. Possible explanations for the spectrum of pain among women with pelvic varicosities are also discussed.
盆腔淤血综合征与盆腔静脉曲张相关，可导致慢性盆腔疼痛，尤其是在长时间站立、性交、月经和妊娠的情况下。虽然盆腔淤血综合征的潜在病理生理学尚不清楚，但它可能是由功能失调的静脉瓣膜、逆流的血流、静脉高压和扩张共同引起的。无症状的女性也可能有盆腔静脉曲张，这使得盆腔淤血综合征难以诊断。本文探讨了盆腔淤血综合征疼痛的病因、成像技术的应用以及临床管理。文中还讨论了盆腔静脉曲张女性疼痛范围的可能解释。
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