摘要
目的探讨在超声引导下无水乙醇注入硬化治疗不同类别盆腔囊肿的临床疗效。方法选择150例女性盆腔囊肿患者,超声检查共发现171个囊腔,根据术后囊腔病理诊断结果将患者分为5组,分别是单纯卵巢囊肿组(37个囊肿)、卵巢内膜异位囊肿组(14个囊肿)、输卵管积水组(15个囊肿)、输卵管和盆腔脓肿组(35个囊肿)和单纯盆腔包裹性积液组(70个囊肿)。5组均在超声引导下行无水乙醇注入治疗,术后随访6个月,观察比较各组的治疗效果。结果治疗后,5组均有不同程度的治疗效果,其中术后第1个月时,5组治愈率分别是59.46%、50.00%、33.33%、37.14%、34.29%;术后第3个月时,5组治愈率分别是75.67%、78.57%、26.67%、34.28%、35.71%;术后第6个月时,5组治愈率则分别是81.08%、85.71%、26.67%、31.43%、35.71%。在术后6个月中,以单纯卵巢囊肿和卵巢内膜异位囊肿的治愈率最高,与其他3组比较有优势明显(P<0.05)。结论对于盆腔囊肿患者,超声引导下无水乙醇注入治疗能取得较好的疗效,尤其是对单纯卵巢囊肿和卵巢内膜异位症囊肿的治愈率高,值得临床推广。
Objective To explore the clinical effects of ultrasound-guided percutaneous absolute ethanol injection andsclerotherapy in the treatment of different types of pelvic cysts. Methods A total of 150 female patients with pelvic cyst wereselected as research subjects, and ultrasound examination showed that there were totally 171 cysts in them. According to thepostoperative pathological diagnosis results of cysts, they were divided into five groups, i.e., simple ovarian cyst group （37 cysts）, ovarian endometriosis cyst group （14 cysts）, hydrosalpinx group （15 cysts）, fallopian tube and pelvic abscess group （35 cysts） and simple pelvic encapsulated effusion group （70 cysts）. All patients in the five groups received the treatment of ultrasound-guidedpercutaneous absolute ethanol injection. After six months＇ follow-up visit, the curative effects among the groups were compared.Results After the treatment, the curative effects among the five groups were different. One month after the operation, the cure rate in the five groups were 59.46%, 50.00%, 33.33%, 37.14%, and 34.29%, respectively; three months after the operation, the cure rate in the five groups were 75.67%, 78.57%, 26.67%, 34.28%, and 35.71%, respectively; six months after the operation, the cure rate in the five groups were 81.08%, 85.71%, 26.67%, 31.43%, and 35.71%, respectively. Through the six months after the operation, the cure rates of simple ovarian cyst and ovarian endometriosis cyst were the highest, with significant advantages over the other three groups（P 〈 0.05）. Conclusion For patients with pelvic cysts, ultrasound-guided percutaneous absolute ethanol injection can get better curative effects, especially for those with simple ovarian cysts and ovarian endometriosis cyst is high, so it is worthy of clinical promotion
出处
《西南国防医药》
CAS
2017年第2期178-180,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
超声引导
无水乙醇
盆腔囊肿
硬化
ultrasound-guided
absolute ethanol
pelvic cyst
sclerotherapy
