The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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A Scoping Review of Clinical Study in Pelvic Congestion Syndrome Focused on Blood Stasis

어혈을 중심으로 본 골반울혈증후군의 임상연구에 관한 주제범위 문헌고찰

  • Hye-Won An (Department of Obstetrics and Gynecology of Korean Medicine, College of Korean Medicine, Daejeon University) ;
  • Miso Park (Clinical Trial Center, Daejeon Korean Medicine Hospital of Daejeon University) ;
  • Ji-Yeon Lee (Department of Obstetrics and Gynecology of Korean Medicine, College of Korean Medicine, Daejeon University)
  • 안혜원 (대전대학교 한의학과 부인과학교실) ;
  • 박미소 (대전대학교 대전한방병원 임상시험센터) ;
  • 이지연 (대전대학교 한의학과 부인과학교실)
  • Received : 2024.07.03
  • Accepted : 2024.08.19
  • Published : 2024.09.01
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Abstract

Objectives: The purpose of this study is to summarize the etiology, diagnosis and treatment of pelvic congestion syndrome(PCS) in traditional East-Asian medicine(TEM) and Western medicine(WM) from the point of blood stasis. Methods: We followed the methodology of 5 steps of scoping review by Arksey and O'Malley and Levac et al. Studies from 2010 to October 19, 2023 were searched through seven search engines. Two reviewers independently searched and screened the studies. When there was a disagreement, a third reviewer decided its eligibility. Results: A total of 78 studies were selected, and 40 were TEM studies and 38 were WM. The average age of the study subjects was in their 30s and most had more than one child. Most of TEM were intervention studies and WM were mostly observational studies. In the WM, the etiology of PCS was considered pelvic venous insufficiency, and in the TEM, pathological conditions caused blood stasis in the pelvis. In TEM, the diagnosis was made according to previous studies' criteria; in WM, it was made through imaging. To treat PCS, WM seeks to block extended veins with embolization, and TEM to improve the environment in which stagnant blood is created through various treatments such as herbal medicine, enema therapy, etc. Total efficient rate (TER) in TEM and imaging findings in WM were most often used as outcome measures. Conclusions: This study summarized and analyzed overall concepts of PCS in TEM and WM.

Keywords

Acknowledgement

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No.RS-2023-00209469).

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