摘要
目的 探讨药物及超声引导下囊肿穿刺术联合治疗卵巢子宫内膜异位囊肿的途径。方法 对卵巢子宫内膜异位囊肿初发者15例及复发者13例进行药物治疗:12例用抑那通、8例用丹那唑、8例用国产阿拉瑞林,疗程3个月,在药物治疗期间均行超声引导下囊肿穿刺术,术后6、12、18个月进行随访。结果 穿刺术后6个月治愈率17.9%,总有效率89.3%,复发率10.7%;术后12个月治愈率17.9%,总有效率85.7%,累计复发率14_3%;术后18个月治愈率17.9%,总有效率82.1%,累计复发率17.9%;8例未生育患者治疗后3例妊娠,占37.5%。结论 应用药物及超声引导下囊肿穿刺术可有效治疗卵巢子宫内膜异位囊肿,复发率低。
Objective To explore the way of drugs and ultrasound-guided puncture on ovarian endometriosis cyst. Methods 28 cases of ovarian endometriosis cyst (13 cases were recurrence) were treated with drugs; 12 cases treated with Enantone, 8 cases with Danazol and 8 cases with homemade Alarelin. During first 3- month treatment all cysts were conducted with ultrasound-guided aspiration, then the follow-up was taken at the 6th, 12th, 18th month. Results At the 6th month after therapy, the healing rate was 17.9%, the total effective rate was 89.3%, the recurrence rate was 10.7% .At the 12th month, the healing rate was 17.9%, the total effective rate was 85.7%, the cumulative recurrence rate was 14.3%. At the 18th month, the healing rate was 17.9%, the total effective rate was 82.1%, the recurrence rate was 17.9%. After treatment, 3 of 8 infertile women were pregnant, the pregnancy rate was 37.5%. Conclusion Drugs combined with cyst puncture is effective in treating ovarian endometriosis cyst, with a low recurrence rate.
出处
《上海医学影像》
2003年第4期300-301,共2页
Shanghai Medical Imaging
关键词
药物
超声引导
囊肿穿刺术
卵巢内膜囊肿
治疗
Ovarian endometriosis cyst Drag therapy Cyst puncture Recurrence rate