卵巢静脉综合征4例报告

报告４例右卵巢静脉综合征，临床表现为以前期，经期，妊娠期和分娩后反复作右腰痛，或伴有同侧下腹部疼痛和尿路感染，也可出现无痛性全程肉眼血尿，均经静脉尿路造影，逆行输尿管造影确诊，行肾固定术及卵巢静脉切除术，术后恢复良好，认为外科治疗应包括切除右卵巢静脉，纤维组织鞘，输尿管狭窄段，恢复输尿管通畅，有肾下垂直可同时作肾固定术，控制尿路感染。

Ovarian vein syndrome (Report of 4 cases)

4 patients with right ovarian vein syndrome were reported,whose symptoms included recurrent right flank or accompanied ispsilateral lower abdominal pain and those resulting fromurinary infection, in premenstrual, menstrual, gestational and postpartum period, painless grosshematuria could also be seen. In physical examination right nephroptosis,percussion pain in renalarea,and tenderness in lumbocostal or costovertebral angle and a point reflecting middle segment ofureter were felt. IVU showed hydronephrosis with a dilated, toruous ureterogram revealed anoblique filling defect at the level of S1,which is of great importance for diagnosis. It is consideredthat the operative procedures should include removal of right ovarian vein, fibrous sheath, and ofstenotic segment of ureter,which should be reconstructed at once. In the presence of nephroptosis,neproexy would be performed if necessary for the control of urinary infection.