子宫切除保留卵巢或双侧卵巢切除后发生慢性盆腔痛者称为残留卵巢综合征及卵巢组织残余综合征,诊治甚是棘手。残留卵巢综合征常有卵巢周围炎及被膜增厚,多有出血性闭锁卵泡和黄体囊肿,认为疼痛是囊壁包裹粘连阻碍卵巢周期性扩张所致。这种粘连通常是盆腔手术和炎症的后果。临床表现为子宫切除后至少2年的慢性下腹痛史,常向大腿前或背部放射。12％有泌尿功能障碍,29％性交痛,74％阴道检查可触及包块。腹部和阴道超声扫描可发现卵巢组织。腹腔镜只能看到粘连,对诊断帮助不 Hysterectomy retained ovaries or bilateral ovariectomy after the occurrence of chronic pelvic pain known as residual ovarian syndrome and residual tissue syndrome, ovarian cancer diagnosis and treatment is very difficult. Residual ovarian syndrome often ovarian peritonitis and thickening of the capsule, and more hemorrhagic atresia follicles and corpus luteum cyst, that the pain is the parietal adhesions blocking the ovarian cyclical expansion. This adhesion is usually the result of pelvic surgery and inflammation. Clinical manifestations of at least 2 years after hysterectomy of chronic lower abdominal pain history, often to the thigh before or back radiation. 12% had urinary dysfunction, 29% had sexual pain, and 74% had palpable vaginal exams. Abdominal and vaginal ultrasound scan can detect ovarian tissue. Laparoscopy can only see the adhesions, the diagnosis does not help