Loos W, Rath W, von Hugo R, Graeff H, Kuhn W
Frauenklinik und Poliklinik der Technischen Universität München, Universitäts-Frauenklinik Göttingen.
Arch Gynecol Obstet. 1989;245(1-4):827-9. doi: 10.1007/BF02417578.
Septic ovarian vein thrombosis is commonly the sequela of puerperal purulent endomyometritis. The incidence has been reported to be 1 in 600-6000 deliveries. The predominant location is the right ovarian vein according to the puerperal uterine drainage. The diagnostic and therapeutic experience in 9 cases is described. The leading symptoms were abdominal pain localized at the psoatic muscle and a tender, barrel-shaped tumor. Ultrasound and computed tomography (CT) added in the correct preoperative diagnosis. Antibiotic therapy and anticoagulation are recommended in an uneventful course; in complicated cases surgical intervention becomes mandatory.
化脓性卵巢静脉血栓形成通常是产后脓性子宫内膜炎的后遗症。据报道，其发病率为每600 - 6000例分娩中有1例。根据产后子宫引流情况，主要发病部位是右侧卵巢静脉。本文描述了9例患者的诊断和治疗经验。主要症状为局限于腰大肌处的腹痛以及一个压痛性的桶状肿物。超声和计算机断层扫描（CT）有助于术前正确诊断。在病情平稳时，建议采用抗生素治疗和抗凝治疗；在复杂病例中，手术干预则成为必要手段。
