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30例健康妇女和87例经腹腔镜确诊为盆腔静脉瘀血综合征(PVCS)的患者于月经周期第14~17天静脉注射亚锡焦磷酸(Sn++-PYP)10mg,30min后注射99m锝高锝酸盐(99mTc)740MBq,30、60、90、120min后用单光子发射计算机断层显像仪(SPECT)进行盆腔前、后位采集放射性计数各2min,计算机自动勾划盆腔静脉丛和髂血管感兴趣区(ROI),求出两者间单位象素计数,以90min比值分出轻、中、重度PVCS。分别给予丹参、丹参+卡孕栓和手术治疗,观察其比值降低率。结果发现手术组治愈率最高,在轻、中、重度PVCS的治愈率分别是100%、60.0%和72.7%;总治愈率为93.1%,总有效率为100%。其次是丹参+卡孕栓组,在轻、中、重度PVCS的治愈率分别为75.0%、60.0%和20.0%;总治愈率和总有效率分别为55.1%和72.4%。单纯丹参组最差,在重度治愈率为零,轻度和中度也仅为50.0%和8.33%,总治愈率仅为10.3%,总有效率也仅为31.0%。
Thirty patients with healthy women and 87 patients with laparoscopic diagnosis of pelvic venous stasis syndrome (PVCS) were intravenously injected with 10 mg tin (-) tin pyrophosphate (Sn ++ - PYP) on the 14th to 17th day of the menstrual cycle, and injected with 99m technetium (99mTc) 740MBq, 30,60,90,120min with single photon emission computed tomography (SPECT) pelvic anterior and posterior radioactive counts were collected 2min, the computer automatically designated pelvic venous plexus and iliac vessels ROI, calculate the unit pixel count between the two, 90min ratio of light, medium and heavy PVCS. Respectively given Salvia, Salvia + card pregnant suppository and surgical treatment, to observe the rate of reduction. The results showed that the cure rate of operation group was the highest. The cure rates of mild, moderate and severe PVCS were 100%, 60.0% and 72.7% respectively. The total cure rate was 93.1% and the total effective rate was 100%. Followed by Salvia + card pregnant suppository group, the cure rates of mild, moderate and severe PVCS were 75.0%, 60.0% and 20.0% respectively; the total cure rate and total effective rate were 55.1% and 72.4%. Salvia miltiorrhiza group was the worst, with severe cure rates of zero, mild and moderate rates of only 50.0% and 8.33%, with a total cure rate of only 10.3% and a total effective rate of only 31.0 %.