小视频：圆韧带静脉曲张。

     圆韧带静脉曲张。圆韧带静脉曲张多发生于中晚期孕妇，其临床表现欲腹股沟疝相同，临床多误诊为腹股沟疝。超声检查可以轻易准确诊断圆韧带静脉曲张，二维超声表现为腹股沟区蜂窝状包块，彩色多普勒显示囊腔内充满静脉样血流信号。因此，临床疑为腹股沟疝的孕妇，应该行彩色多普勒超声检查。

The diagnosis is difficult to establish based on history and physical examination alone. However, the diagnosis is straightforward with color flow duplex imaging. The varicosities appear as large dilated spaces on grey scale imaging, but when interrogated with color, the spaces are clearly vascular as the blood reflects the sound waves.

In patients with asymptomatic inguinal hernias, surgical repair can be delayed until the postpartum period. However, as stated earlier, symptomatic hernias can be considered for repair during the second trimester. Round ligament varicosities can be observed during pregnancy, and most will resolve spontaneously during the postpartum period. If there is progressive variceal enlargement and increased discomfort, analgesics that are safe for pregnancy can be prescribed for pain control.

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