应用彩超检查探讨女性下肢静脉曲张与盆腔静脉曲张症相关性研究

Correlation between lower extremity varicose and pelvic varicose in females using color ultrasonography

目的:探讨女性下肢静脉曲张与盆腔静脉曲张症的相关性。方法:将2017年1月至12月东莞市桥头医院收治的90例原发性下肢静脉曲张已婚女性患者纳入观察组,同期90例无下肢静脉曲张的已婚女性患者纳入对照组。均行经阴道彩色超声检查及下肢血管超声检查,比较两组盆腔静脉曲张患病率及超声检查指标。结果:观察组盆腔静脉曲张症患病率为48.89%(44/90),显著高于对照组的18.89%(17/90),两组比较,差异有统计学意义(χ2=18. 077,P <0. 05); Spearman等级相关检验结果显示,下肢静脉直径与盆腔静脉曲张直径正相关(r=0.407,P<0.05);但两组股隐瓣膜反流、不同CEAP分级患者的盆腔静脉曲张症患病率、盆腔静脉直径比较,差异均无统计学意义(P>0.05)。结论:女性下肢静脉曲张患者或合并更高风险的盆腔静脉曲张发生率;合并盆腔静脉曲张者,其盆腔曲张静脉直径与下肢曲张静脉直径正相关。

Objective: To investigate the correlation between lower extremity varicose and pelvic varicose in females. Methods A total of 90 married female patients with primary lower extremity varicose admitted to Qiaotou Hospital of Dongguan between January 2017 and December 2017 were included as the observation group. A contemporary cohort of 90 married women without lower extremity varicose was included as the control group. All patients underwent transvaginal color ultrasonography and ultrasonography of the lower extremities. The prevalence of pelvic varicose and findings of ultrasound were compared between the two groups. Results The prevalence of pelvic varicose in the observation group was 48. 89%( 44/90),which was significantly higher than that in the control group( 18. 89%,17/90) with statistical difference between the two groups( χ2= 18. 077,P < 0. 05).Spearman rank correlation analysis showed that the diameter of the lower extremity vein was positively correlated with the diameter of the pelvic varicose vein( r = 0.407,P<0.05),However,there were no statistical differences in the prevalence of femoral saphenous valvular regurgitation,prevalence of pelvic varicosis stratified by CEAP grading or the diameter of the pelvic vein between the both groups( P> 0.05). Conclusion Females with lower extremity varicosis may be at higher risk for pelvic varicose. In those with pelvic varicose,the diameter of pelvic varicose vein is positively correlated with the diameter of the varicose veins in the lower extremities.