Analysis of the efficacy of endovascular treatment with foam sclerotherapy for pelvic congestion syndrome with ultrasound assessment.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE Jornal Vascular Brasileiro Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.1590/1677-5449.202301782
Natália Miranda Gava, Amanda Santana Silva, Gustavo Sasso Benso Maciel, Márcia Porto Assis, Carlos André Daher Santos
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Abstract

Background: Pelvic Congestion Syndrome is an important cause of pelvic pain in adult women, leading to reduced quality of life, absenteeism from work, anxiety, depression, and sexual disorders.

Objectives: To evaluate the response to endovascular treatment for pelvic varicose veins using foam sclerotherapy and outline the profile of patients with this diagnosis followed up at the Hospital das Clínicas Cassiano Antônio Moraes, Universidade Federal do Espírito Santo, Brazil.

Methods: Based on review of medical records, this retrospective descriptive study analyzes the profile and response of patients undergoing endovascular treatment for pelvic varicose veins by foam sclerotherapy. The variables analyzed include age, weight, height, body mass index, parity, pelvic pain complaints, ultrasound criteria comparing the diameter of pelvic vessels before and after the procedure, and presence of venous reflux on transvaginal Doppler ultrasound.

Results: The sample of patients analyzed had an average age of 43.3 years old, a mean of 2.95 gestations, and a mean BMI of 25.37kg/m2. Ultrasound assessment after the intervention indicated a statistically significant reduction (p-value < 0.005) in the caliber of the parauterine vessels, with mean diameters of 6.34 mm on the right and 7.26 mm on the left before the procedure and 4.37 mm and 4.56 mm respectively afterwards.

Conclusions: Foam sclerotherapy reduced the caliber of pelvic varicose veins in the study sample. The results were similar to those of other endovascular treatment methods for this comorbidity. Further prospective studies to assess the response to this intervention are necessary to establish it as an effective option for treatment of pelvic congestion syndrome.

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通过超声评估分析血管内泡沫硬化疗法治疗盆腔充血综合征的疗效。
背景:盆腔充血综合征是成年女性盆腔疼痛的重要原因:盆腔充血综合征是成年女性盆腔疼痛的一个重要原因,会导致生活质量下降、旷工、焦虑、抑郁和性功能障碍:目的:评估巴西圣埃斯皮里图联邦大学卡西亚诺-安东尼奥-莫赖斯医院采用泡沫硬化疗法对盆腔静脉曲张血管内治疗的反应,并概述该诊断患者的概况:这项回顾性描述性研究以病历为基础,分析了通过泡沫硬化剂注射对盆腔静脉曲张进行血管内治疗的患者的概况和反应。分析的变量包括年龄、体重、身高、体重指数、胎次、盆腔疼痛主诉、比较手术前后盆腔血管直径的超声标准以及经阴道多普勒超声检查是否存在静脉回流:所分析的样本患者平均年龄为 43.3 岁,平均妊娠次数为 2.95 次,平均体重指数为 25.37kg/m2。干预后的超声波评估显示,子宫旁血管的直径在统计学上显著缩小(p 值< 0.005),术前右侧和左侧的平均直径分别为 6.34 毫米和 7.26 毫米,术后分别为 4.37 毫米和 4.56 毫米:结论:泡沫硬化疗法可缩小研究样本中盆腔静脉曲张的直径。其结果与其他血管内治疗方法对这一合并症的治疗效果相似。有必要进一步开展前瞻性研究,评估这种干预方法的反应,将其确定为治疗盆腔充血综合征的有效方法。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
期刊最新文献
Cross-sectional, multicenter study comparing sex differences in patients undergoing endovascular repair of infrarenal abdominal aortic aneurysms. Results from the São Paulo State University Provincial Hospitals Registry (RHEUNI). Brazilian Society of Angiology and Vascular Surgery guidelines on peripheral artery disease. Analysis of the efficacy of endovascular treatment with foam sclerotherapy for pelvic congestion syndrome with ultrasound assessment. Treatment of penetrating injuries of the retrohepatic vena cava: systematic review protocol. Response to 1064 nm Nd:YAG LASER in treatment of vulvar Fordyce's Angiokeratoma: case report.
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