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中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (05) : 538 -541. doi: 10.3877/cma.j.issn.1672-6448.2024.05.015

综述

超声在盆腔静脉疾病诊断中的应用进展
徐开颖1, 朱江2,()   
  1. 1. 310000 杭州,浙江大学医学院附属妇产科医院超声科;315000 浙江宁波,宁波市第二医院超声科
    2. 310000 杭州,浙江大学医学院附属妇产科医院超声科
  • 收稿日期:2023-09-06 出版日期:2024-05-01
  • 通信作者: 朱江

Application of ultrasound in diagnosis of pelvic venous disorders

Kaiying Xu, Jiang Zhu()   

  • Received:2023-09-06 Published:2024-05-01
  • Corresponding author: Jiang Zhu
引用本文:

徐开颖, 朱江. 超声在盆腔静脉疾病诊断中的应用进展[J]. 中华医学超声杂志(电子版), 2024, 21(05): 538-541.

Kaiying Xu, Jiang Zhu. Application of ultrasound in diagnosis of pelvic venous disorders[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(05): 538-541.

盆腔静脉疾病(pelvic venous disorders,PeVD)影响着大约8%育龄期女性的身心健康,59%~75%的PeVD患者可发展为慢性盆腔痛。慢性盆腔痛是一种女性常见的、容易被忽视的疾病,其带来的经济负担较重,临床明确诊断其病因具有一定挑战性,世界上约26%的女性日常生活深受其影响。目前有关国内慢性盆腔痛患病率的流行病学数据较少,王鹤等于2011—2013年对1468位18~58岁的长春市女性进行调查,发现慢性盆腔痛的患病率为17.6%。据报道,每年有40%的腹腔镜手术和12%的子宫切除术是因慢性盆腔痛导致的,但80%的手术患者中慢性盆腔痛的病因并不是妇科来源的。所以,对慢性盆腔痛进行病因筛查非常必要,尤其需要鉴别并排除静脉源性盆腔痛。

图1 盆腔静脉系统的4个分区
图2 经腹超声扫查左肾静脉处探及扩张的左卵巢静脉
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