Orford V P, Kuhn R J
Department of Gynaecology, Royal Melbourne Hospital, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 1996 Nov;36(4):468-71. doi: 10.1111/j.1479-828x.1996.tb02195.x.
Ovarian remnant syndrome is a rare condition which develops when functional ovarian tissue which is left in situ after intended bilateral oophorectomy produces clinically significant symptoms, namely chronic pelvic pain and/or dyspareunia. Women with this syndrome may have a pelvic mass palpable on bimanual examination, or visible on transvaginal ultrasound. However, visualization of an ovarian remnant is sometimes difficult because it is small and multiple previous pelvic operations have usually produced dense adhesions and distorted pelvic anatomy. Identification of these remnants may be facilitated by ovarian stimulation. Surgical removal is the optimal treatment, but hormonal suppression of ovarian activity may provide temporary relief of pain.
卵巢残留综合征是一种罕见的病症，发生于双侧卵巢切除术后，残留于原位的功能性卵巢组织产生具有临床意义的症状，即慢性盆腔疼痛和/或性交困难。患有该综合征的女性可能在双合诊检查时可触及盆腔肿块，或经阴道超声可见。然而，有时很难看到卵巢残留，因为其体积小，且既往多次盆腔手术通常会导致致密粘连和盆腔解剖结构变形。卵巢刺激有助于识别这些残留组织。手术切除是最佳治疗方法，但对卵巢活动进行激素抑制可能会暂时缓解疼痛。
