[Clinical study on pelvic venous congestion syndrome after tubal sterilization]

To study the clinical features, diagnosis and therapy of pelvic venous congestion syndrome after tubal sterilization.

By using laparoscopy combined with transmyometrial pelvic venophogram and samples after operation, pathomorphology of pelvic congestion venous is observed.

The coincidence rate of laparoscopic diagnosis is 94.6% (53/56), compared with transmyometrial pelvic venophogram. There is no significant difference for light or severe type patients (P > 0.05). The cure rate of the cases in this group is 60.7%, the improvement rate is 16.1%, total effectiveness rate is 76.8%. The effectiveness rate of operational treatment is 90.1%, conservative treatment is 18.2%.

Laparoscopy is very valuable for the diagnosis of this disease. Laparoscopy combined with transmyometrial pelvic venophogram can be regarded as the major method to diagnosis pelvic venous congestion syndrome. It is recommended that operation for patients with medium and severe symptoms.