摘要
目的探讨盆腔静脉淤血综合征（PCS）宫旁静脉丛和卵巢静脉在多层螺旋CT血管造影（MSCTA）中的表现。方法选择临床及影像学综合诊断为PCS且行全腹部CT增强扫描的患者23例，采用容积再现（VR）血管生长技术（AV）进行血管重建，分析PCS时宫旁静脉丛及卵巢静脉的表现。结果23例中，所有病例左侧宫旁静脉丛及卵巢静脉均迂曲、扩张，6例伴发左肾静脉压迫综合征，7例尚累及右侧宫旁静脉丛，右侧受累及者可于宫底部和（或）宫颈部见横向走行并连接双侧宫旁静脉丛的横行交通支。结论MSCTA能显示宫旁静脉丛和卵巢静脉迂曲、扩张，能明确诊断PCS。
Objective To explore the appearance of parametrial venous plexus and ovarian vein on MSCTA for pelvic congestion syndrome （ PCS ）. Methods 23 patients diagnosed as PCS by both clinical manifestations and imaging features who had undergone contrast-enhanced CT scans of the whole abdomen were included in this study. The blood vessels were reconstructed by volume rendering （ VR ） and add vessel （ AV ）. The appearance of parametrial venous plexus and ovarian vein were analyzed. Results All the 23 patients had dilated, tortuous left parametrial venous plexus and ovarian veir~ 6 developed left renal vein entrapment syndrom~ 7 occurred involvement of right parametrial venous plexus, with communication veins connecting two-sided uterine venous plexus in the fundus and／or the cervix. Conclusions MSCTA can demonstrate the dilated, tortuous parametrial venous plexus and ovarian vein, confirming the diagnosis of pelvic congestion syndrome.
出处
《国际医药卫生导报》
2011年第15期1841-1843,共3页
International Medicine and Health Guidance News
