CAJ | 학술논문

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.
목적 탐토분강정맥어혈종합정(PCS)궁방정맥총화란소정맥재다층라선CT혈관조영(MSCTA)중적표현.방법 선택림상급영상학종합진단위PCS차행전복부CT증강소묘적환자23례,채용용적재현(VR)혈관생장기술(AV)진행혈관중건,분석PCS시궁방정맥총급란소정맥적표현.결과 23례중,소유병례좌측궁방정맥총급란소정맥균우곡、확장,6례반발좌신정맥압박종합정,7례상루급우측궁방정맥총,우측수루급자가우궁저부화(혹)궁경부견횡향주행병련접쌍측궁방정맥총적횡행교통지.결론 MSCTA능현시궁방정맥총화란소정맥우곡、확장,능명학진단PCS.
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 vein; 6 developed left renal vein entrapment syndrome;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.