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盆腔静脉功能不全——慢性盆腔痛常被忽视的病因。

Pelvic venous insufficiency - an often-forgotten cause of chronic pelvic pain.

机构信息

1st Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, Warsaw, Poland.

出版信息

Ginekol Pol. 2020;91(11):704-708. doi: 10.5603/GP.a2020.0093.

DOI:10.5603/GP.a2020.0093
PMID:33301167
Abstract

Chronic pelvic pain is a common health problem that afflicts 39% of women at some time in their life. It is a common challenge for gynecologists, internists, surgeons, gastroenterologists, and pain management physicians. Pelvic venous insufficiency (PVI) accounts for 16-31% of cases of chronic pain but it seems to be often overlooked in differential diagnosis. The aim of this article was to summarize current data concerning PVI. The embolization of insufficient ovarian veins remains the gold standard of therapy but the optimal procedure is yet to be determined. Well-designed randomized trials are required to establish the best treatment modalities.

摘要

慢性盆腔痛是一种常见的健康问题,影响着 39%的女性在其一生中的某个时间。它是妇科医生、内科医生、外科医生、胃肠病学家和疼痛管理医生共同面临的挑战。盆腔静脉功能不全(PVI)占慢性疼痛病例的 16-31%,但在鉴别诊断中似乎经常被忽视。本文旨在总结目前关于 PVI 的数据。卵巢静脉功能不全的栓塞仍然是治疗的金标准,但最佳的治疗方法仍有待确定。需要进行精心设计的随机试验来确定最佳的治疗方式。

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