Montagnac R, Schillinger F, Schillinger D, Milcent T
Service de Néphrologie-Hémodialyse, Centre Hospitalier Général de Troyes.
Rev Fr Gynecol Obstet. 1989 Jan;84(1):11-4.
After initial scepticism about its reality and despite a few disagreements, many authors now recognize the ovarian vein syndrome as a separate clinical entity, secondary to ureteral obstruction caused by dilation of the ovarian veins, which may cause lumbar pain, recurring pyelonephritis and/or lithiasic complications. The right side most frequently is affected because anatomical configuration of the right ureter is more susceptible to compression, and in fact, pregnancy appears to be an essential initiating or exacerbating factor. Thus, this anomaly might explain why painful and infectious manifestations and hydronephrosis so often develop on the right side (in over 95 p. cent of cases) during pregnancy. Its diagnosis thus must be known to be able to envisage its possible onset, by taking a careful history, and may be confirmed by certain radiological examinations. The latter, as well as treatment, depend on whether or not the patient is pregnant, its term, as well as severity of symptoms. Hence, erroneous diagnoses and incorrectly oriented surgical procedures may be avoided, while appropriate therapy is effective.
尽管最初对其真实性存在怀疑，且存在一些分歧，但现在许多作者都认识到卵巢静脉综合征是一种独立的临床实体，继发于卵巢静脉扩张引起的输尿管梗阻，可能导致腰痛、复发性肾盂肾炎和/或结石并发症。右侧最常受累，因为右侧输尿管的解剖结构更容易受到压迫，事实上，妊娠似乎是一个重要的起始或加重因素。因此，这种异常可以解释为什么在怀孕期间，疼痛和感染性表现以及肾积水在右侧（超过95%的病例）如此频繁地发生。因此，必须了解其诊断方法，以便通过仔细询问病史来设想其可能的发病情况，并可通过某些放射学检查得到证实。后者以及治疗方法取决于患者是否怀孕、孕周以及症状的严重程度。因此，可以避免错误的诊断和错误的手术操作方向，同时适当的治疗是有效的。
