盆腔充血综合征静脉栓塞治疗结果的判定 判定标准 1. 技术成功,定义尚没有精确的定义。是否栓塞包括双侧卵巢静脉或髂内静脉的4支静脉为成功栓塞? 2. 临床成功,主要是慢性盆腔疼痛的症状是否缓解。 (1)下午开始的盆腔偏侧的“胀痛”,“搏动性疼痛”,“钝痛” (2)站立后加重 (3)行经期加重 (4)性交痛 临床成功判定标准 疼痛强度评分Wong-Baker脸:对婴儿或无法交流的病人用前述方法进行疼痛评估可能比较困难。可通过画有不同面部表情的图画评分法来评估:无痛、有点痛、稍痛、更痛、很痛、最痛。
视觉模拟法(VAS划线法)
无痛/剧痛之间划一条长线(一般长为100mm),线上不作标记、数字或词语,以免影响评估结果。一端代表无痛,另一端代表剧痛,让患者在线上最能反应自己疼痛程度之处划一交叉线。
其它 随访时间 复发
静脉曲张的复发占血管外科医生年平均活动的15%至20%。
Recurrence of varicose veins represents 15 to 20 % on average of the annual activity of a vascular surgeon. 他们大多与第一次手术的技术或战术缺陷有关,其他与新生血管有关,但8%至16%有骨盆来源。
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