医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
13期
546-546
,共1页
残留卵巢综合征%治疗
殘留卵巢綜閤徵%治療
잔류란소종합정%치료
Residual ovary syndrome%Treatment
目的探讨子宫切除术后残留卵巢综合征(ROS)的发病情况及治疗方法。方法回顾性研究我院2006年1月~2010年12月子宫切术后发生残留卵巢综合征患者共37例。患者均有明显的临床症状,且经超声检查排除盆腔实性肿块,诊断明确后首选避孕药治疗,药物治疗无效者给予手术治疗。结果37例ROS中,19例服药后症状消失,肿块缩小；10例在B超引导下穿刺；8例手术治疗。结论子宫切除术后保留一侧或双侧卵巢可能发生ROS,一旦确诊首先选用抑制卵巢功能的药物治疗,无效时可选用B超引导下囊肿穿刺或手术治疗。
目的探討子宮切除術後殘留卵巢綜閤徵(ROS)的髮病情況及治療方法。方法迴顧性研究我院2006年1月~2010年12月子宮切術後髮生殘留卵巢綜閤徵患者共37例。患者均有明顯的臨床癥狀,且經超聲檢查排除盆腔實性腫塊,診斷明確後首選避孕藥治療,藥物治療無效者給予手術治療。結果37例ROS中,19例服藥後癥狀消失,腫塊縮小；10例在B超引導下穿刺；8例手術治療。結論子宮切除術後保留一側或雙側卵巢可能髮生ROS,一旦確診首先選用抑製卵巢功能的藥物治療,無效時可選用B超引導下囊腫穿刺或手術治療。
목적탐토자궁절제술후잔류란소종합정(ROS)적발병정황급치료방법。방법회고성연구아원2006년1월~2010년12월자궁절술후발생잔류란소종합정환자공37례。환자균유명현적림상증상,차경초성검사배제분강실성종괴,진단명학후수선피잉약치료,약물치료무효자급여수술치료。결과37례ROS중,19례복약후증상소실,종괴축소；10례재B초인도하천자；8례수술치료。결론자궁절제술후보류일측혹쌍측란소가능발생ROS,일단학진수선선용억제란소공능적약물치료,무효시가선용B초인도하낭종천자혹수술치료。
Objective To explore the incidence and therapy of residual ovary syndome (ROS) after hysterectomy. Methods 37 cases with residual ovary syndome after hysterectomy in our hospital from January 2006 to December 2010 were analyzed retrospectively. Al of them showed significant clinical symptoms with exclusion of solid masses by B-mode ultrasound. Once diagnosed, contraceptive pil s were given as the treatment of first choice. Persistent symptoms should arouse the necessity of operation. Results Symptoms relieved and regression of the mass were seen in 19 case, failure of medicine therapy turned toB-mode ultrasound puncture in 10cases and resection in 8 cases. Conclusion ROS may occur in woman who reserves one or both ovaries after hysterectomy. Once diagnosed, ovarian hormones inhibitory drugs should be tried first and failure of medicine therapy may turn to B-mode ultrasound puncture or surgery.
