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目的:对1986年11月~1996年12月30例盆腔瘀血综合征患者,采用改良式手术治疗。方法:①子宫圆韧带悬吊,骶韧带缩短及阔韧带修补术10例。②子宫切除术20例,其中单侧附件切除15例(包括卵巢转位术10例),双侧附件切除5例。③卵巢带血管蒂转位术10例。结果:手术关键,①必须将卵巢血管游离,便于卵巢血管转位。②卵巢转位高度,应高于下腔静脉下端的水平的侧腹壁的腹膜上为佳。结论:随访结果显示手术治愈率为96.67%,卵巢带血管蒂转位术收到极好疗效。
Objective: From November 1986 to December 1996, 30 cases of pelvic congestion syndrome were treated by modified surgery. Methods: ① Uterine round ligament suspension, sacral ligament shortening and broad ligament repair in 10 cases. ② hysterectomy in 20 cases, including unilateral annex removal of 15 cases (including ovarian transposition of 10 cases), bilateral attachment resection in 5 cases. ③ ovarian vascular pedicle transposition of 10 cases. Results: The key to surgery, ① ovarian blood vessels must be free for ovarian vascular transposition. Ovarian transposition height, should be higher than the level of inferior vena cava inferior lateral abdominal peritoneum better. Conclusion: The follow-up results showed that the cure rate was 96.67%. The transvascular pedicle ovarian transposition received excellent curative effect.