Comparison of diagnostic value between transabdominal and transvagine color doppler ultrasonography in pelvic varicosis

Objective To study the diagnostic value of transabdominal color doppler ultrasonography (TACDU) and transvagino color doppler ultrasonography (TVCDU) in patients with pelvic varicosis (PV).Methods 60 patients with PV were detected by using TACDU and TVCDU respecticely,and the diagnostic value between the two ways were compared. Operational results was used as standard, and the degree of lesion in patients with PV was evaluated based on the results of surgery. Results The venous inside diameter、venous plexus,venous blood flow velocity in PV group were higher than the normal group(t = 2.214,2.310,2. 340, all P ＜ 0.05); The diagnosis rate 91.6% in TVCDU was significantly higher than80.0% in TACDU (χ2 = 3. 794, P ＞ 0.05); The pelvic venous flow velocity(8. 5 ± 2.5)cm/s in mild degree was higher than that (4.6 ± 2.7) cm/s in severe degree (t = 2.378,P ＜ 0. 05). Conclusion The transabdominal color Doppler ultrasound in the diagnosis of pelvic congestion syndrome had important clinical value, transvaginal sonography was superior to transabdominal ultrasound. Key words: Pelvic congestion syndrome; Ultrasonography,doppler,Color; Postpartum period