Беременность - как причина возникновения варикозного расширения вен половых органов (Литературный обзор)

Abstract

A review of the literature is presented in which the authors consider the problem of varicose veins (RVV) of the pelvic organs. The first cases of the disease description by domestic and foreign scientists are given. It was found that of 25% of all patients with varicose veins (WB) 2/3 are women and in 75% of cases the pathology develops during pregnancy. According to the literature in the etiology and pathogenesis of ERW of the genitals during pregnancy, there was a mechanical theory of vasodilation, which was that the increasing uterus compresses the veins of the pelvic organs, leading to increased hydrostatic pressure, lower blood flow rate. Other authors believe that this theory does not explain the complex pathogenesis of vascular wall dilation and why, in some cases, the disease appears in the early stages of gestation, when the mechanical effect of the pregnant uterus is not yet expressed? It is believed that an equally important role is played by ovarian occlusion and pelvic vein thrombosis in history. Arteriovenous dysplasia of the deep veins of the lower extremities and compression of the veins by the pelvic organs (pregnant uterus, retro and anteflexio of the uterus, which leads to an in-flection of the uterine ligaments with a further violation of the outflow of venous blood) are also important. The problem is very urgent, since a large part of women with external and internal genital organs often occurs at a young age, is latent, and the doctor does not always associate these processes with pregnancy and childbirth.