慢性盆腔淤积综合征的腔内栓塞治疗

Endovascular embolization treatment of chronic pelvic congestion syndrome

目的探讨腔内栓塞治疗盆腔淤积综合征(PCS)的疗效及经验。方法对21例PCS患者行血管腔内栓塞治疗,采用视觉模拟评分法(VAS)评估患者术前及术后3个月PCS症状的改善程度。结果所有患者的技术成功率、临床成功率均为100%,未出现弹簧圈移位、肺动脉栓塞等并发症。患者术后疼痛症状均有明显缓解,术前、术后VAS分别为8.3±0.8、4.1±0.9(t=20.684,P<0.001)。结论血管腔内栓塞治疗PCS安全、有效、微创,但远期疗效仍需随访。

Objective To investigate the effect of endovenous embolization for pelvic congestion syndrome（ PCS） and clinical experiences. Methods Twenty-one PCS patients underwent endovenous embolization. Visual analog scale（ VAS） was used to investigate preoperative symptom and the improvement of 3 months follow-up. Results All patients were successfully treated with endovenous embolization. Technical success rate and clinical success rate were all 100%. No coil mischarge or pulmonary embolism were observed. Pelvic pain was obviously relived after endovenous embolization. VAS score decreased from 8. 3 ± 0. 8 before the operation to 4. 1 ± 0. 9 after the operation（ t = 20. 684,P〈0. 001）. Conclusion Endovenous embolization is a safe,effective and minimal invasive approach for treatment of PCS. Long-term efficacy need more evidence and follow-up.