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目的探讨经阴道彩色多普勒超声血流显像(CDFI)和能量图(CDE)诊断盆腔静脉淤血症,并选择重症,重度者行栓塞治疗的临床价值。方法经阴道观察子宫卵巢及双侧盆腔静脉曲张内径,范围及血流的CDFI、CDE表现。选用介入治疗者行盆腔静脉造影时,应用不锈钢圈栓塞卵巢静脉主干。结果双侧静脉曲张21例,单侧36例,内径最宽达11mm。PW检测静脉频谱,为低速血流3~9cm/s。5例行卵巢静脉栓塞治疗。结论经阴道CDFICDE诊断盆腔静脉淤血症,图像直观,方法简便易行。选择性栓塞治疗,快捷、微创、疗效确切。
Objective To investigate the clinical value of transvaginal color Doppler ultrasonography (CDFI) and energy chart (CDE) in the diagnosis of pelvic venous congestion and the selection of severe and severe embolization. Methods Transvaginal observation of ovarian and bilateral pelvic varicose veins diameter, scope and blood flow CDFI, CDE performance. Selection of interventional treatment of pelvic venography, the use of stainless steel embolization of the ovarian vein trunk. Results Bilateral varicose veins in 21 cases, unilateral 36 cases, the longest diameter of 11mm. PW detection venous spectrum, low blood flow 3 ~ 9cm / s. 5 cases of ovarian vein embolization. Conclusions Transvaginal CDFICDE diagnosis of pelvic venous congestion, visual images, the method is simple and easy. Selective embolization, fast, minimally invasive, the exact effect.