盆腔静脉疾病:术语,诊断和治疗的最新情况
Meghan R Clark1, Amy C Taylor1
1Division of Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia.
Seminars in interventional radiology
|August 14, 2023
概括
盆腔静脉疾病 (PeVD) 是一种新定义的疾病,导致慢性盆腔疼痛和静脉. 它统一了以前的诊断,如破子症候群和梅-瑟纳综合征,以更好地理解和治疗.
科学领域:
- 血管医学 血管医学
- 妇科 妇科 妇科 妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 慢性盆腔疼痛 (CPP) 和下肢静脉往往源于盆腔静脉问题.
- 从历史上看,像破子综合症,盆腔拥堵综合症和梅-瑟纳综合症这样的疾病描述了这些静脉问题.
- 一个统一的术语,盆腔静脉疾病 (PeVD),被提议涵盖这些相互关联的条件.
研究的目的:
- 引入统一的术语 - - 盆腔静脉疾病 (PeVD).
- 详细介绍目前的命名,诊断评估和静脉起源的CPP的管理策略.
主要方法:
- 关于盆腔静脉疾病的当前医学文献的综述.
- 对诊断标准和成像技术的分析.
- 综合既定和新兴的治疗方式.
主要成果:
- PeVD准确地描述了涉及盆腔静脉 (左脏,卵巢,腹腔) 中阻塞或反流的情况.
- 症状包括CPP,阴道/下肢,侧侧疼痛,出血和胀.
- 通过考虑病理生理学和解剖学来实现准确的诊断.
结论:
- 对于静脉相关的骨盆疼痛和瘤,PeVD提供了一个更精确的诊断框架.
- 了解底层的静脉解剖学和病理生理学对于有效的管理至关重要.
- 这种统一的方法旨在改善源自静脉的慢性骨盆疼痛患者的治疗结果.
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