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对子宫及双侧输卵管、卵巢切除术后,伴有或不伴有包块的盆腔疼痛,其诊断十分困难。应考虑到卵巢残留综合征(ovarian remnant syndrome,ORS),尤其是初次手术指征为盆腔炎性疾患及子宫内膜异位症者。ORS是由于卵巢皮质组织未完全被切除所致,可引起从经常性或周期性盆腔疼痛至肠及输尿管梗阻等一系列症状。ORS或许比通常所认为的更多见,即使有经验的临床医师也会误诊。 ORS的术前诊断,主要根据病史和妇科检查,结合超声检查以及甾体激素与促性腺激素检测所肯定的发现。其常有的主诉为盆腔与腹部疼痛,可伴有腹膜刺激征。双侧
On the uterus and bilateral tubal, ovariectomy, with or without pelvic pelvic pain, the diagnosis is very difficult. Ovarian remnant syndrome (ORS) should be considered, especially if the primary surgical indications are pelvic inflammatory disease and endometriosis. ORS is due to incomplete removal of ovarian cortex tissue can cause from regular or recurrent pelvic pain to intestinal and ureteral obstruction and a series of symptoms. ORS may be more common than usually thought, even experienced clinicians will be misdiagnosed. ORS preoperative diagnosis, mainly based on medical history and gynecological examination, combined with ultrasound and steroid hormones and gonadotropin test confirmed the findings. The main complaint of the pelvic and abdominal pain, may be associated with peritoneal irritation. Bilateral