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目的探讨残留卵巢综合征的诊断、治疗与预防措施。方法分析2000年1月至2010年1月北京京煤集团总医院收治的经手术治疗的13例残留卵巢综合征患者的临床资料,手术方式包括卵巢切除、盆腔粘连分离加卵巢囊肿剥离术。结果残留卵巢综合征发生率0.82%,临床表现主要是子宫切除术后不同程度盆腔疼痛。术中见:卵巢被肠管或大网膜粘连形成包裹性包块7例、卵巢蒂扭转4例、卵巢囊性变2例。术后病理诊断:卵巢黄素囊肿5例,卵泡囊肿3例,卵巢出血坏死4例,卵巢巧克力囊肿1例。结论残留卵巢综合征发生的主要原因是盆腔粘连导致卵巢排卵功能障碍,其治疗棘手,重在预防。
Objective To investigate the diagnosis, treatment and prevention of residual ovary syndrome. Methods The clinical data of 13 patients with residual ovarian syndrome who underwent surgical treatment from January 2000 to January 2010 in Beijing Jingmei Group General Hospital were analyzed. The surgical methods included ovariectomy, pelvic adhesions and ovarian cyst exfoliation. Results The incidence of residual ovarian syndrome was 0.82%. The main clinical manifestations were pelvic pain in varying degrees after hysterectomy. Surgery, see: ovarian intestine or omentum adhesions formed parcel mass in 7 cases, 4 cases of ovarian pedicle torsion, 2 cases of ovarian cystic degeneration. Postoperative pathological diagnosis: 5 cases of luteinizing cysts, 3 follicular cysts, 4 cases of ovarian hemorrhage and necrosis, 1 case of ovarian chocolate cyst. Conclusion The main cause of residual ovarian syndrome is pelvic adhesions leading to ovarian ovulation dysfunction, which is difficult to treat and focuses on prevention.