国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (2): 112-115.

• 综述 • 上一篇    下一篇

残余卵巢综合征

田 英, 郎玉萍   

  1. 300100天津市中心妇产科医院
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-04-15 发布日期:2013-04-15
  • 通讯作者: 郎玉萍

Residual Ovarian Syndrome

TIAN Ying，LANG Yu-ping   

  1. Tianjin Central Hospital of Gynecology Obstetrics，Tianjin 300100，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-04-15 Online:2013-04-15
  • Contact: LANG Yu-ping

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摘要： 残余卵巢综合征（ROS）是指因良性病变行全子宫或次全子宫切除术，术时保留一侧或两侧卵巢，术后少数患者会出现盆腔肿块、盆腔疼痛、性交疼痛等一系列症候群。是由于术后盆腔粘连、卵巢功能失调、卵巢位置改变等引起的。病理表现主要包括：有厚包膜的附件炎症、黄体囊肿、多房性滤泡囊肿、出血性囊肿、子宫内膜异位症以及卵巢良性或恶性新生物。子宫切除术并不增加残留卵巢癌的发生率。不同子宫切除手术方式对该病的发生率有影响。治疗方法包括通过药物抑制排卵及手术治疗。改良性子宫切除术等有助于预防ROS的发生。

关键词: 残余卵巢综合征, 卵巢切除术, 卵巢疾病, 综合征, 诊断, 鉴别, 补充疗法

Abstract: Following hysterectomy for benign diseases with one or two ovaries preservation，a few patients develop residual ovarian syndrome（ROS） with the incidence of pelvic mass，pelvic pain，and dyspareunia. ROS is caused by pelvic adhesions after hysterectomy，ovarian dysfunction，and changes in the position of the ovary. The common pathological findings are involved with adnexitis，corpus luteum hematoma，follicular cysts，bleeding ovarian cysts，endometriosis，benign neoplasm and ovarian carcinoma. However，there is no indication of hysterectomy increasing the risk of residual ovarian cancer. Sugery types of hysterectomy have influence on the incidence of ROS. Suppression of ovulation by using drugs and surgery to remove residual ovaries are two general treatments for ROS. Advanced operation method for hysterectomy can help in prevention of ROS.

Key words: Residual ovarian syndrome, Ovariectomy, Ovarian diseases, Syndrome, Diagnosis, differential