经腹超声介入穿刺配合药物治疗卵巢巧克力囊肿效果探讨  

Effect of transabdominal ultrasound interventional puncture combined with medicine on ovarian chocolate cyst

作　　者：陈微微[1] 陈晓龙 张静[1] 孙妍 徐杰丰[1] CHEN Wei-wei;CHEN Xiao-long;ZHANG Jing;SUN Yan;XU Jie-feng(Department of Ultrasound, Yuyao People’s Hospital, Yuyao 315400, China)

机构地区：[1]余姚市人民医院超声科,浙江余姚315400

出　　处：《中国生化药物杂志》2017年第9期362-363,共2页Chinese Journal of Biochemical Pharmaceutics

摘　　要：目的探讨经腹超声介入穿刺配合药物治疗卵巢巧克力囊肿的效果。方法依不同治疗方式将2015年1月～2016年12月于余姚市人民医院诊治的卵巢巧克力囊肿患者70例分为对照组和观察组2组，对照组用经腹超声介入穿刺+尿激酶溶液冲洗囊腔+无水乙醇硬化治疗，观察组基于对照组方法加用曲普瑞林；观察2组患者治疗前后机体激素雌二醇（E2）、卵泡刺激素（FSH）、血清促黄体素（LH）、FSH/LH、窦状卵泡（AFC）水平变化情况、并发症发生情况、临床治疗情况，并将所获相关数据作对比分析。结果经腹超声介入穿刺+药物治疗（观察组）治疗卵巢巧克力囊肿的效果优于单纯经腹超声介入穿刺的（对照组）治疗效果，观察组患者机体激素水平稳定程度优于对照组、并发症发生率低于对照组、临床治疗总有效率高于对照组，差异均有统计学意义（P＜0.05）。结论卵巢巧克力囊肿患者选择经腹超声介入穿刺+药物治疗的效果显著，可有效改善患者机体激素水平，并发症发生率低，治疗总有效率高，值得临床上推广应用。Objective To investigate the efficacy of transabdominal ultrasound interventional puncture combined with medicine inthe treatment of ovarian chocolate cysts.Methods According to the different treatment methods will be January2015to December2016inYuyao People’s Hospital70cases of patients with ovarian chocolate cyst group:the control group with washed cysts+ethanol sclerotherapy bytransabdominal ultrasound interventional puncture+urokinase solution,the observation group in the control group based on the addition of triptorelin;observed the body hormone before and after E2two patients in the treatment group,follicle stimulating hormone,serum luteinizing hormone,FSH/LH,antral follicles level changes,complications,clinical treatment,and the relevant data for comparative analysis.Results Abdominal ultrasoundinterventional puncture and drug treatment(observation group)treatment of ovarian chocolate cyst is better than transabdominal ultrasoundinterventional treatment(control group),the stability of the body hormone levels of patients than the control group,the complication rate was lowerthan the control group,the total efficiency of clinical treatment was higher than the control group,the difference was statistically significant(P<0.05).Conclusion The patients with ovarian chocolate cyst transabdominal ultrasound interventional puncture and drug treatment effect significantly,can effectively improve the patients body hormone level,low complication rate,the total effective rate of the treatment is high,it is worthy of widelyused treatment of patients with ovarian chocolate cyst.

关 键 词：经腹超声介入 曲普瑞林 卵巢巧克力囊肿 

分 类 号：R711.75[医药卫生—妇产科学]