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卵巢残余综合征是很少见的卵巢切除术后并发症,诊断依据双侧卵巢切除术后的慢性盆腔疼痛、盆腔检查触及或超声扫描查到盆腔包块、手术标本组织学证实有卵巢组织。治疗包括药物、放射及手术治疗。手术途径主要是剖腹及腹腔镜。手术时从骨盆上缘平行于卵巢血管切开盆腔侧壁腹膜,广泛开放腹膜后间隙,解剖膀胱旁间隙及直肠旁间隙,检出输尿管后,高位结扎及切除卵巢血管;锐性分离患侧盆腔侧壁上的腹膜,切除所有的卵巢残余及其周围粘连的腹膜,受累脏器区段切除。卵巢残余综合征手术有效率在90%以上,并发症率为3%～33%,复发率在8%～25%。至今手术切除卵巢残余组织仍是治疗本病的最主要方法。
Ovarian remnant syndrome is a rare complication after ovariectomy, diagnosis of chronic pelvic pain after bilateral ovariectomy, pelvic examination touches or ultrasound scan found pelvic mass, surgical specimens histologically confirmed ovarian tissue. Treatment includes medication, radiation and surgery. The main surgical approach is laparotomy and laparoscopy. Operative pelvic from the edge of the pelvis parallel to the lateral peritoneal pelvis cut open a wide range of retroperitoneal space dissection of the para-glottic and para-rectum space, the detection of the ureter, high ligation and removal of ovarian blood vessels; sharp separation of the affected side of the pelvic The peritoneum on the side wall, resection of all ovarian residual and surrounding peritoneal adhesions, removal of the affected organ section. Surgical treatment of ovarian residual syndrome more than 90% effective rate was 3% to 33%, the recurrence rate was 8% to 25%. So far surgical removal of residual tissue of the ovary is still the most important method of treatment of this disease.