MODERN ASPECTS OF DIAGNOSIS AND REHABILITATION OF CHRONIC PELVIC PAIN SYNDROME IN WOMEN WITH VARICOSE OF THE REPRODUCTIVE SYSTEM
DOI:
https://doi.org/10.11603/24116-4944.2021.1.12358Keywords:
varicose veins, organs of reproductive system, intravaginal hirudotherapyAbstract
The aim of the study – to learn the manifestations of varicose veins of the pelvic organs in women of reproductive age and to evaluate the effectiveness of hirudotherapy in the rehabilitation of gynecological patients with this pathology after surgery.
Materials and Methods. After surgical treatment 27 patients with varicose veins of the pelvis were examined for gynecological pathology. Gynecological examination and general clinical examinations required for surgery, assessment of "General well-being" using the author's questionnaire, transvaginal ultrasound with Doppler arteries and veins of the uterus were conducted. The obtained results were processed by statistical methods.
Results and Discussion. Ultrasound revealed varicose veins, which were defined as twisted, anechogenic structures along the rib of the uterus. The average diameter of the uterine veins before treatment in the studied women was (0.93±0.02) cm on the right and (0.92±0.02) on the left, the diameter of the internal iliac vein – (1.16±0.02) cm on the right and (1.15±0.02) cm, the diameter of the right ovarian vein was (0.48±0.02) cm, the left ovarian vein – (0.49±0.02) cm. As a result of the treatment there was an improvement in venous outflow and reduction of stagnation in the pelvic organs, which was confirmed by diameter of the vessels of the pelvis: internal iliac vein on the right 1.5, left – 1.4 times; ovarian vein 1.8 and 1.9 times, respectively; uterine veins 1.7 times on both sides. The proposed method of treatment of varicose veins of the pelvis with the use of medical leeches intravaginally helped to reduce pain by 4 times, general well-being and mood improved by 3 times, social adaptation and libido – by 2.5 times.
Conclusion. The proposed method of rehabilitation for varicose veins of the pelvis after surgery is quite effective as evidenced by the results of clinical and instrumental research methods and also allows to eliminate pain and significantly improve the quality of life of patients and their social activity.
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