Kronik Pelvik Ağrı Ayırıcı Tanısında Pelvik Venöz Konjesyon

Amaç: Kronik pelvik ağrılı hastalarda pelvik venöz konjesyon (PVK) sıklığını araştırmak.Yöntemler: Retrospektif çalışmamızda, kronik pelvik ağrı nedeni ile sakroiliak eklem manyetik rezonans görüntüleme (MRG) veya pelvik MRG incelemesi yapılan sıralı 171 hasta pelvik venöz konjesyon yönünden değerlendirilmiştir. Parauterin-periprostatik alanda çapı 6 mm ve daha geniş variköz venöz yapılar saptanması pelvik venöz konjesyon olarak kabul edildi. Anlamlılık sınırı p

Pelvic Venous Congestion in the Differential Diagnosis of Chronic Pelvic Pain

Objective: To investigate the frequency of pelvic venous congestion (PVC) in patients with chronic pelvic pain.Methods: In this retrospective study, 171 consecutive patients who underwent sacroiliac magnetic resonance imaging (MRI) or hip MRI for chronic pelvic pain were evaluated in terms of PVC. The presence of parauterine and/or periprostatic varicose veins with diameters of >=6 mm was accepted as PVC. The two-tailed significance level was adjusted to p<0.05.Results: Of 171 patients, PVC was found in 45 (26.3%). The frequency of PVC was estimated to be 31.8% in women and 16.4% in men. PVC is more common in women than in men (p=0.044; chi-square test). The median age was 35 years in patients with PVC.Conclusion: PVC is a frequent pathology that is detected inwomen and men. PVC should always be considered in the differential diagnosis of chronic pelvic pain.

Kaynakça

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