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[卵巢静脉综合征:8例报告及文献复习]

[The ovarian vein syndrome: eight cases and review of the literature].

作者信息

Tourné G, Ducroux A, Bourbon M, Blinding H

机构信息

Gynécologie-Obstétrique, CHU St Etienne, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2002 Sep;31(5):471-7.

PMID:12379831
Abstract

OBJECTIVE

The ovarian vein syndrome is an uncommon clinical entity occurring secondary to ureteral obstruction caused by dilation of aberrant ovarian veins. After initial scepticism about its reality, many authors currently recognize the ovarian vein syndrome as a separate clinical entity, included among pelvic congestive syndromes. Excretory urography, sonography and retrograde ureteropyelography findings confirm the clinical diagnosis. Our purpose was to demonstrate the efficacy of surgery and the contribution of laparoscopic treatment.

METHODS

and material. We rapport eight cases treated from 1980 to 1998. The surgical procedure was laparotomy in seven cases and laparoscopy in one.

RESULTS

Ovarian vein resection was successful in all cases without any adverse event. Average hospital stay was about four days. Complete and persistent relief of lumbar pain was achieved.

CONCLUSION

Ovarian vein syndrome is an uncommon diagnosis of pelvic pain that should be recognized. Surgery is considered as the appropriated therapy. The laparoscopic approach should be preferred

摘要

目的

卵巢静脉综合征是一种罕见的临床病症,继发于异常卵巢静脉扩张导致的输尿管梗阻。在最初对其真实性存疑之后,目前许多作者将卵巢静脉综合征视为一种独立的临床病症,归为盆腔充血综合征。排泄性尿路造影、超声检查和逆行输尿管肾盂造影结果可证实临床诊断。我们的目的是证明手术的有效性以及腹腔镜治疗的作用。

方法与材料。我们报告了1980年至1998年期间治疗的8例病例。7例行剖腹手术,1例行腹腔镜手术。

结果

所有病例的卵巢静脉切除术均成功,无任何不良事件。平均住院时间约为4天。腰部疼痛得到完全且持续的缓解。

结论

卵巢静脉综合征是一种应被认识到的罕见的盆腔疼痛诊断。手术被认为是合适的治疗方法。应首选腹腔镜手术方式

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引用本文的文献

1
Arteriovenous malformation causing obstructive uropathy: A different dimension to ovarian vein syndrome.动静脉畸形导致梗阻性尿路病:卵巢静脉综合征的一个不同层面。
Indian J Urol. 2014 Oct;30(4):448-9. doi: 10.4103/0970-1591.139580.
2
Diagnosis of ovarian vein syndrome (OVS) by computed tomography (CT) imaging: a retrospective study of 11 cases.通过计算机断层扫描(CT)成像诊断卵巢静脉综合征(OVS):11例回顾性研究
Medicine (Baltimore). 2014 Aug;93(7):e53. doi: 10.1097/MD.0000000000000053.
3
A rare case of recurrent hematuria from right kidney: radiologic diagnosis and treatment.
一例罕见的右肾复发性血尿病例:影像学诊断与治疗
ISRN Urol. 2011;2011:159104. doi: 10.5402/2011/159104. Epub 2011 Jul 19.