卵巢子宫内膜异位囊肿乙醇硬化术后复发因素的研究  

Recudescent factors of ovarian endometrial cyst after interrentional therapy guided by ultrasound

作　　者：王黎明[1] 付庆诏[2] 刘韶平[2] 宋义燕[3] 

机构地区：[1]青岛大学医学院附属医院 [2]山东大学齐鲁医院,山东济南250012 [3]山东省千佛山医院

出　　处：《山东医药》2003年第32期3-4,共2页Shandong Medical Journal

摘　　要：目的　探讨卵巢子宫内膜异位囊肿乙醇硬化术后复发因素 ,减少术后复发率。方法　 16例复发患者与 76例未复发患者在临床各参数上进行对照分析。结果　复发患者与未复发者比较 ,前者年龄较年轻 ,病程较长 ,囊肿多呈多房状 ,囊壁较厚 ,囊液稠厚 (P<0 .0 5 ) ;后者多应用术中囊壁注射丙酸睾丸酮 ,囊内无水乙醇留置时间较长 ,术前或术后接受系统药物治疗 (P<0 .0 5 )。两者在囊肿的体积、囊液量及单双侧发生上无统计学差异(P>0 .0 5 )。结论　对卵巢子宫内膜单房囊肿系统药物治疗无效者 ,应尽早行超声下穿刺乙醇硬化术。术中适当延长无水乙醇的作用时间 ,囊壁可注射丙酸睾丸酮。术后严格系统药物治疗 。Objective To discuss the recrudescent factors of ovarian endometrial cyst after interventional therapy guided by ultrasound.Methods Kinds of clinic parameters were compared between 16 cases of patients who recurred and 76 cases of patients who didn't recur. Results There were differences in patient's age,the time of cyst's history, single or more loculuses in cyst, the thickness of cyst's wall and the density of cyst's liquid(P<0.05).The technique of testosterone injected in cyst's wall, more time of alcohol remained in cyst and systemic drug used before or after puncture more happened in patients who didn't recur (P<0.05).Conclusions If systemic drug therapy had no effect on ovarian single endometrial cyst, the interventional therapy guided by ultrasound should be used early. Delaying the time of alcohol remained in cyst properly,rejecting testosterone in cyst's wall and performing systemic drug therapy after puncture,we are bound to reduce the recmdescent rate of ovarian endometrial cysts.

关 键 词：硬化术 卵巢子宫内膜异位囊肿 术后复发 药物治疗 丙酸睾丸酮 术中 患者 严格 结论 因素 

分 类 号：R737[医药卫生—肿瘤] R571.3[医药卫生—临床医学]