摘要
目的探讨阴式彩超引导下穿刺注入无水乙醇配合孕三烯酮治疗卵巢子宫内膜异位囊肿的近期疗效。方法选择2005年9月至2007年6月就诊于我院妇产科，结合病史、妇科检查、超声检查和肿瘤标志物检测，临床诊断为卵巢子宫内膜异位囊肿的门诊病人，采用经阴式彩超引导穿刺的方法来治疗卵巢子宫内膜异位囊肿。结果两组患者在囊肿穿刺术中囊液吸引量、无水乙醇注入量、残留囊肿直径、手术时间比较差异无统计学意义；用药组治愈率明显高于对照组，用药组复发率低于对照组，差异有统计学意义。结论阴式彩超引导下行囊肿穿刺无水乙醇硬化术，操作简单、安全、有效，术后配合孕三烯酮口服维持治疗能有效地控制症状和促使异位病灶萎缩，能有效提高治愈率，降低复发率。
Objective transvaginal color Doppler ultrasound guided percutaneous ethanol injection with gestrinone treatment of ovarian endometriotic cysts cancer. Methods from September 2005 to June 2007 received treatment in hospital obstetrics and gynecology, combining history, pelvic examination, ultrasonography and tumor markers, clinical diagnosis of ovarian endometriotic cysts of the patients, using vaginal type color Doppler ultrasound guided approach to the treatment of ovarian endometriotic cysts. Results There were puncture the cyst fluid in the sac to attract the amount of ethanol injection, residual cyst diameter, operative time was no significant difference; medication group was significantly higher cure rate, relapse rate lower than the control drug group group, the difference was statistically significant. Conclusion transvaginal color Doppler ultrasound guided cyst puncture and ethanol sclerotherapy, a simple, safe, effective, after oral maintenance with gestrinone treatment can effectively control symptoms and to promote shrinkage ofectopic lesions, can improve the cure rate and reduce recurrence rate.
关键词
彩超
囊肿
研究
Ultrasonography
Cyst
Research
