Kominiarek Michelle A, Hibbard Judith U
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Illinois, Chicago Medical Center, Chicago, Illinois 60607, USA.
Obstet Gynecol Surv. 2006 May;61(5):337-42. doi: 10.1097/01.ogx.0000216564.53044.f1.
Ovarian vein thrombosis (OVT) is a rare complication of pregnancy. However, recognition and treatment is critical because a delay in diagnosis could lead to significant maternal morbidity. The diagnosis of OVT remains a challenge because there is no known profile of risk factors. Current controversies concern radiologic diagnosis, appropriate treatment strategies including antibiotics and anticoagulation, treatment duration, and testing for thrombophilias.
Obstetricians & Gynecologists, Family Physicians.
After completion of this article, the reader should be able to explain that even though the occurrence of postpartum ovarian vein thrombosis (OVT) is rare the physician must consider it in a differential diagnosis in a patient with postdelivery fever unresponsive to antibiotics, state that missing the diagnosis can have devastating consequences, and recall that at times it is difficult to differentiate from septic thrombophlebitis.
卵巢静脉血栓形成（OVT）是一种罕见的妊娠并发症。然而，识别和治疗至关重要，因为诊断延迟可能导致严重的孕产妇发病。OVT的诊断仍然是一项挑战，因为目前尚无已知的危险因素特征。当前的争议涉及放射学诊断、包括抗生素和抗凝治疗在内的适当治疗策略、治疗持续时间以及血栓形成倾向检测。
妇产科医生、家庭医生。
阅读本文后，读者应能够解释，尽管产后卵巢静脉血栓形成（OVT）的发生率很低，但医生在诊断对抗生素无反应的产后发热患者时，必须将其纳入鉴别诊断考虑范围；应指出漏诊可能会产生灾难性后果；并应记住，有时很难将其与感染性血栓性静脉炎区分开来。
