彩色多普勒超声检查诊治盆腔淤血综合征的体会

Experience of color doppler examination in the diagnosis and treatment of pelvic congestion syndrome

目的:探讨彩色多普勒超声对盆腔静脉淤血综合征(PCS)的诊断意义及经阴道超声中药周期疗法治疗过程中的观察价值。方法:收治盆腔淤血综合征患者72例作为病例组,并根据不同治疗方式进一步分为治疗组和治疗对照组,同时收治有腹痛、月经不调、白带异常且无子宫、附件及盆腔占位性病变患者169例作为正常对照组。结果:病例组静脉内径及子宫大小大于对照组,静脉流速小于对照组,差异有统计学意义(P<0.05)。治疗组疗效明显优于治疗对照组,差异有统计学意义(P<0.01)。结论:超声诊断盆腔淤血综合征是首选方法,中药周期疗法中,经阴道超声能追踪观察,对治疗效果及预后起到了一定的指导作用。

Objective:To investigate the diagnostic significance of color doppler ultrasound for patients with pelvic congestionsyndrome(PCS)and to investigate the observation value of transvaginal ultrasound for patients treated with cycle therapy of thetraditional Chinese medicine.Methods:72 patients with pelvic congestion syndrome were selected as the case group,and they werefurther divided into the treatment group and the control group according to different treatment methods.169 patients withabdominal pain,irregular menstruation,abnormal vaginal discharge and no uterine,accessory and pelvic mass lesions were selectedas the normal control group.Results:The diameter of the vein and the size of the uterus in the case group were higher than those inthe control group, the venous flow velocity was less than the control group,which had significant differences(P<0.05).Thecurative effect of the treatment group was significantly better than that of the control group,there was a very significantdifference(P<0.01).Conclusion:Ultrasound is the preferred method in diagnosis of pelvic congestion syndrome,the clinicalefficacy of Chinese herbal medicine cycle therapy can be observed by transvaginal ultrasound.It plays a guiding role in thetreatment effect and prognosis.