Giraud J R, Poulain P, Renaud-Giono A, Darnault J P, Proudhon J F, Grall J Y, Mocquet P Y
Department of Gynaecology, Obstetrics and Human Reproduction, Hôtel-Dieu, Teaching Hospital, Rennes, France.
Acta Obstet Gynecol Scand. 1997 Sep;76(8):773-8. doi: 10.3109/00016349709024346.
Post-partum ovarian vein thrombosis is often overlooked or mistaken for other complications such as endometritis. Color Doppler ultrasonography is a very good diagnostic method when properly indicated and correctly interpreted according to clinical data.
This study reports ten cases that were retrospectively studied, during which color Doppler ultrasonography was used. The clinical signs and the results are reviewed.
The lesions were clearly visualized in eight of the ten cases; one of the two failures resulted from a methodological fault (uninterpretable result); the other one was due to the lack of experience of the operator and nonrecognition of the clinical signs. Thrombosis appears as a hypoechogenic and tubular image. This type of examination is particularly indicated in the presence of certain clinical signs that were observed in our cases: fever and iliac pain are the main precursor signs, often associated with abdominal meteorism and slow digestive transit; provoked cul-de-sac pain during vaginal probing was the only constant sign, sometimes associated with painful swelling.
产后卵巢静脉血栓形成常被忽视或误诊为诸如子宫内膜炎等其他并发症。彩色多普勒超声检查在根据临床资料恰当应用并正确解读时，是一种非常好的诊断方法。
本研究报告了十例进行回顾性研究的病例，期间使用了彩色多普勒超声检查。对临床体征和检查结果进行了回顾。
十例中有八例病变清晰可见；两例检查失败中，一例是由于方法错误（结果无法解读），另一例是由于操作者缺乏经验且未识别出临床体征。血栓表现为低回声管状影像。这种检查在出现我们病例中观察到的某些临床体征时尤其适用：发热和髂部疼痛是主要的前驱体征，常伴有腹胀和消化缓慢；阴道探查时诱发的直肠陷凹疼痛是唯一持续出现的体征，有时伴有疼痛性肿胀。
