Diagnosis and evaluation of 38 cases of pelvic congestion syndrome and single center experience in intracavitary treatment
10.3760/cma.j.cn431274-20221013-01023
- VernacularTitle:盆腔淤血综合征38例诊断评估和腔内治疗单中心经验
- Author:
Yaping FENG
1
;
Huan ZHANG
;
Luyuan NIU
;
Xiangtao LI
;
Xiaoyun LUO
;
Fuxian ZHANG
Author Information
1. 首都医科大学附属北京世纪坛医院血管外科，北京 100038
- Keywords:
Pelvic congestion syndrome;
Ovarian vein;
Endovascular therapy;
Ultrasonography, doppler, color
- From:
Journal of Chinese Physician
2023;25(5):714-718
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the diagnostic evaluation process and the effectiveness and safety of intracavitary therapy for pelvic congestion syndrome (PCS).Methods:A retrospective analysis was conducted on 38 patients admitted to Beijing Shijitan Hospital affiliated to Capital Medical University from March 2019 to February 2022. Combined with the patient′s symptoms, PCS was diagnosed by color Doppler ultrasound, computed tomography venography (CTV), and venography. The ovarian vein was embolized with controllable spring coil and polydocanol foam sclerosing agent. The patients were followed up 1, 3 and 6 months after operation.Results:The total surgical success rate of 38 patients was 100%, and the incidence of complications was 5.3%(2/38); Spring coils (2.8±0.3)per person; The dosage of hardener was (7.0±2.1)ml/person. The improvement rate of patient symptoms was 97.4%(37/38); After 1, 3, and 6 months of surgery, color Doppler ultrasound was reexamined and no recanalization was observed in the embolized ovarian veins; The diameter of the parauterine vein was (2.8±0.5)mm, which was significantly lower than the preoperative (7.5±1.9)mm ( P<0.05); The Visual Analogue Scale (VAS) score was significantly lower than the preoperative score [(2.12±1.87)points vs (7.58±0.82)points, P<0.001]. Conclusions:Process based assessment is helpful in identifying and diagnosing PCS patients who urgently need treatment; Endovascular treatment based on embolization of ovarian vein with controllable spring coil and foam sclerosing agent is minimally invasive, safe and effective.
