经阴道超声介入联合焦膜理论治疗卵巢巧克力囊肿疗效分析  

Analysis of the Effect of Transvaginal Ultrasound Intervention Combined with Jiaomo Theory for Treatment of Ovarian Chocolate Cysts

作　　者：陈建文[1] 赵俐[1] 郭红梅[1] 徐秋红[1] 李晓彬[1] 梁元豪 陈林 CHEN Jian-wen;ZHAO Li;GUO Hong-mei;XU Qiu-hong;LI Xiao-bin;LIANG Yuan-hao;CHEN Lin(Dongguan Maternal and Child Health Hospital,Dongguan Guangdong 523000,China;Graduate School of Hunan University of Traditional Chinese Medicine,Changsha Hunan 410208,China)

机构地区：[1]东莞市妇幼保健院,广东东莞523000 [2]湖南中医药大学研究生院,湖南长沙410208

出　　处：《中医药导报》2020年第7期55-58,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：东莞市社会科技发展(重点)项目(201750715007467)。

摘　　要：目的:观察超声介入联合焦膜理论治疗卵巢巧克力囊肿的临床疗效。方法:将120例卵巢巧克力囊肿患者根据随机数字表法分成试验组(超声介入联合焦膜理论治疗组)、对照B组(超声介入联合注射用醋酸曲普瑞林治疗组)、对照C组(传统超声介入治疗组,无任何用药),各40例。术后1个月、2个月、3个月、6个月以及1年随访,每次均行彩超复查巧克力囊肿大小、统计受孕情况,3个月复查血清雌二醇及CA125水平。比较3组患者的临床疗效、血清雌二醇、CA125水平、受孕情况。结果:试验组和对照B组总有效率分别为97.5%、92.5%,均高于对照C组的75.0%,差异均有统计学意义(P<0.05)。与治疗前比较,3组患者术后血清雌二醇水平、血清CA125水平均降低,差异均有统计学意义(P<0.05)。对照B组患者血清雌二醇水平低于试验组、对照C组,差异均有统计学意义(P<0.05);治疗后试验组、对照B组患者血清CA125水平均低于对照C组,差异均有统计学意义(P<0.05)。试验组、对照B组患者复发率均低于对照C组,差异均有统计学意义(P<0.05)。试验组、对照B组患者受孕率均高于对照C组,差异均有统计学意义(P<0.05)。结论:阴道超声介入联合焦膜理论治疗卵巢巧克力囊肿的临床效果优于单纯超声介入手术,可有效降低患者术后CA125水平,提高有效率和受孕率,降低复发率,更好地保护患者卵巢功能。Objective:To observe the clinical effect of ultrasound interventional combined with Jiaomo theory in treatment of ovarian chocolate cysts.Methods:A total of 120 patients with ovarian chocolate cysts were divided into experimental group(ultrasound intervention combined with jiaomo theory treatment group),control group B(ultrasound intervention combined with triptorelin acetate injection treatment group),and control group C(traditional ultrasound intervention group,without any medication)according to the random number table method,with 40 cases in each groups.After 1 month,2 months,3 months,6 months and 1 year follow-up,the size of chocolate cyst and pregnancy were reviewed by color Doppler ultrasound every time,and the serum estradiol and CA125 levels were reviewed at 3 months.The clinical efficacy,serum estradiol,CA125 levels and pregnancy status of the three groups were compared.Results:The total effective rate of the experimental group and the control group B was 97.5%and 92.5%respectively,which were higher than the 75.0%of the control group C,the difference were statistically significant(P<0.05).Compared with before treatment,the serum estradiol levels and serum CA125 levels of the three groups of patients were decreased(P<0.05).The level of serum estradiol in control group B was lower than that in experimental group and control group C,and the difference was statistically significant(P<0.05).After treatment,the serum CA125 level of the experimental group and the control group B was lower than that of the control group C,and the differences were statistically significant(P<0.05).The recurrence rate of the experimental group and the control group B were lower than that of the control group C(P<0.05).The pregnancy rate of the experimental group and the control group B were higher than that of the control group C(P<0.05).Conclusions:The clinical effect of vaginal ultrasound intervention combined with Jiaomo theory in treating ovarian chocolate cysts is superior to traditional ultrasound intervention,which can eff

关 键 词：卵巢巧克力囊肿 焦膜理论 乌梅丸 超声介入 注射用醋酸曲普瑞林 雌二醇 CA125 受孕率 临床研究 

分 类 号：R271.14[医药卫生—中医妇科学]