中国普通外科杂志2025，Vol.34Issue(12)：2672-2678,7.DOI:10.7659/j.issn.1005-6947.250564
简化栓塞策略在盆腔静脉疾病治疗中的应用疗效及安全性分析
Efficacy and safety of a simplified embolization strategy in the treatment of pelvic venous disease
摘要
Abstract
Background and Aims:Pelvic venous disease(PeVD)is an important vascular cause of chronic pelvic pain,with ovarian vein reflux being the most common underlying mechanism.Ovarian vein embolization has been proven effective;however,key technical aspects-including embolization extent,coil number,and the need for concomitant treatment of other pelvic venous abnormalities-remain controversial.This study aimed to evaluate the short-and mid-term efficacy and safety of a simplified strategy using left ovarian vein coil embolization combined with sclerotherapy for the treatment of PeVD. Methods:A retrospective analysis was performed on 55 female patients with PeVD treated between February 2023 and February 2024.All patients were diagnosed using ultrasound,CT venography,and venography,and underwent left ovarian vein coil embolization combined with sclerotherapy.Follow-up assessments were conducted at 1,3,6,and 12 months post-procedure,including visual analog scale(VAS)scores,symptom improvement,and complications.Doppler ultrasound at 3 months was used to evaluate ovarian vein occlusion and pelvic venous changes. Results:Technical success was achieved in all patients.At 12 months,the mean VAS score significantly decreased from 7.2±1.2 preoperatively to 2.9±2.8(P<0.01).Symptom improvement was observed in 81.8%of patients,with complete symptom resolution in 50.9%.Ultrasound at 3 months confirmed complete ovarian vein occlusion in all cases,and the diameter of the left parauterine vein significantly decreased compared with baseline[(7.1±1.4)mm vs.(3.4±0.7)mm,P<0.001].The overall complication rate was 14.5%,predominantly transient pelvic pain,which resolved with conservative management. Conclusion:A simplified embolization strategy using left ovarian vein coil embolization combined with sclerotherapy is safe and effective for patients with PeVD predominantly caused by left ovarian vein reflux and represents a reliable minimally invasive treatment option.关键词
血管疾病/盆腔静脉/栓塞,治疗性Key words
Venous Thrombosis/Pelvic Veins/Embolization,Therapeutic分类
医药卫生引用本文复制引用
厉祥涛,单硕,罗小云,张福先,冯亚平..简化栓塞策略在盆腔静脉疾病治疗中的应用疗效及安全性分析[J].中国普通外科杂志,2025,34(12):2672-2678,7.基金项目
北京市自然科学基金资助项目(7232084). （7232084）
