Das weibliche Beckenvenensyndrom – eine Übersicht

Zusammenfassung

Chronische Beckenschmerzen sind eine häufige Beobachtung bei mehrfachgebärenden Frauen im reproduktionsfähigen Alter. Seit Einführung neuer diagnostischer Methoden wurden Störungen der Beckenvenenzirkulation immer öfter als mögliche Ursache erkannt. Trotzdem sind die komplexen venösen Beckenvenensyndrome nicht ausreichend erforscht, Diagnose und Behandlung sind nicht standardisiert. Aufgrund unserer Erfahrungen mit 66 Patientinnen und einer umfangreichen Literaturrecherche geben wir eine Übersicht über Pathophysiologie, Diagnose und Behandlung von Beckenvenenzirkulationsstörungen.

Summary

Chronic pelvic pain is a common complaint among parous women at the reproductive age. With the advent of more sophisticated diagnostic methods, disorders of the pelvic venous circulation have been more frequently recognized as its possible origin. However, the pelvic venous syndromes are complex and not very well understood. Diagnostic and therapeutic methods are not standardized. Based on our experience with 66 patients and an extensive review of the literature we present an overview of the pathophysiology, diagnosis and management of pelvic venous disorders.

Résumé

Les douleurs pelviennes sont fréquemment rapportées par les multipares en âge de reproduction. Grâce aux progrès récents de la méthodologie diagnostique, les troubles de la circulation veineuse du petit bassin sont de plus en plus fréquemment reconnus comme cause possible de ces douleurs. Toutefois les syndrômes veineux pelviens sont complexes et encore incomplètement compris. Les méthodes diagnostiques et thérapeutiques ne sont pas standardisées. Sur la base de notre expérience chez 66 patientes et d’une analyse approfondie de la littérature, nous revoyons ici la physiopathologie, les méthodes diagnostiques, et le traitement des troubles veineux pelviens.

Schlüsselwörter

Beckenvenenzirkulationsstörungen - Nussknackersyndrom - Beckenschmerzen - Vena-ovarica-Insuffizienz - der Vena-iliaca-interna-Insuffizienz

Keywords

Pelvic venous disorders - nutcracker syndrome - pelvic pain - gonadal venous insufficiency - internal iliac vein insufficiency

Mots clés

Troubles veineux pelviens - syndrome casse-noisette - douleurs pelviennes - insuffisance veineuse gonadales - insuffisance de la veine iliaque interne

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