Ghilardi G, Giorgetti P L, Bortolani E M
Istituto di Chirurgia Generale e Cardiovascolare, University of Milan, Italy.
Panminerva Med. 1991 Jul-Sep;33(3):152-6.
Four cases of pulmonary embolism (PE) secondary to puerperal ovarian vein thrombophlebitis (POVT) were treated surgically during the first semester 1990. Clinical features are described in detail. The diagnosis was made by echotomography in three cases, but the crucial examination was contrast phlebocavography in all the subjects. Ovarian vein ligation, caval thrombectomy and inferior vena cava interruption by DeWeese clip positioning was the operation performed in any cases. Postoperative courses were always uneventful and three to six months follow-up was available. The extensive practice of echotomography during the first week of puerperium could demonstrate that POVT is more frequent than previously thought.
1990年上半年，对4例因产褥期卵巢静脉血栓性静脉炎（POVT）继发的肺栓塞（PE）患者进行了手术治疗。详细描述了临床特征。3例通过超声断层扫描做出诊断，但对所有患者来说，关键检查是静脉腔造影。所有病例均进行了卵巢静脉结扎、腔静脉血栓切除术以及用德威斯夹定位进行下腔静脉阻断术。术后病程始终平稳，且有3至6个月的随访结果。产褥期第一周广泛应用超声断层扫描可显示，POVT比以前认为的更为常见。
