摘要
目的：超声引导经腹穿刺卵巢子宫内膜异位囊肿注入不同药物观察,不同治疗方法的疗效。方法：76例患者共86个囊肿,其中子宫内膜异位囊肿52个,卵巢单房囊肿34个;直径4~5cm的囊肿36个,5cm以上的囊肿50个。分别用无水乙醇（A1组、A2组）,消痔灵（B1组、B2组）注入囊肿治疗。囊内液体较稠厚者为A1组,囊内液体较清者为B1组,术后半年评价疗效。结果：A1组总有效率为84.38%（27/32）;B1组总有效率为85%（17/20）。卵巢单房囊肿组总有效率A2组与B2组均为100%。不良反应发生率为A1组为81.25%（26/32）;B1组：45.00%（9/20）结论：超声引导下经皮穿刺注射无水乙醇或消痔灵均为卵巢子宫内膜异位囊肿的有效治疗方法。与无水乙醇比较,消痔灵的不良反应发生率明显较低,应根据不同的患者情况科学选用这两种方法,相互结合能使卵巢子宫内膜异位囊肿的治疗达到最优化,疗效最大化。
Objective：To investigate the efficacy of ultrasound-guided puncture injection with absolute alcohol or Xiaozhiling in the treatment of ovarian endometrial cyst（OEC）.Methods：A total of 76 patients with 86 cysts were included in our study.Endometrial cysts（EC） were divided into Group A1 or Group B1 according to the different nature of hydatid fluid.Ovarian cysts of one single room（OC） were randomly divided into Group A2 or Group B2.Group A1 and B1 were injected into absolute alcohol guided by ultrasound,while Group A2 and B2 were injected into Xiaozhiling.Then summarize curative rate and adverse reaction rate of different groups.Results：Curative rate of EC were 27 of 32 cysts（84.38%） in Group A1 and 17 of 20 cysts（85.00%） in Group B1,respectively.Curative rate of OC in Group A2 and B2 were both 100%.In the 76 patients there were 9 cases initially presenting with infertility,and 2 cases successfully became pregnant after treatment.Adverse reaction rate were 81.25%（26/32） in Group A1 and 45.00%（9/20） in Group B1,respectively.Conclusions：The ultrasound-guided puncture injection with Xiaozhiling was efficient,feasible,safe,economical method in the treatment of OEC.
出处
《中国临床医学》
2010年第6期863-864,共2页
Chinese Journal of Clinical Medicine
