超声引导不同硬化剂注射治疗卵巢子宫内膜异位囊肿86例疗效对比

发布时间：2018-09-04 05:59

【摘要】：目的比较超声引导下囊内注射无水乙醇或聚桂醇治疗卵巢子宫内膜异位囊肿(OEC)的疗效。方法 OEC 86例,44例采用超声引导下囊内注射无水乙醇(乙醇组),42例采用超声引导下囊内注射聚桂醇(聚桂醇组)。术后及6个月内随访,观察疗效及并发症。结果治疗后6个月,乙醇组、聚桂醇组治愈率分别为95.5%、92.9%,两组治愈率差异无统计学意义(P0.05);两组患者术前血清CA125水平分别为(48.42±23.68)μg/L,(49.21±22.83)μg/L,术后分别为(23.56±5.89)μg/L,(25.49±6.10)μg/L,手术前后组内差异有统计学意义(P0.05),组间差异无统计学意义(P0.05)。术后并发症聚桂醇组明显少于乙醇组,组间差异有统计学意义(P0.05),治愈时间乙醇组较聚桂醇组短,但6个月后治愈数差异无统计学意义。结论超声引导下囊内注射聚桂醇治疗OEC疗效确切,相比囊内注射无水乙醇更安全,不良反应少,值得临床推广,同时CA125可作为评估疗效的指标。
[Abstract]:Objective to compare the effect of ultrasound-guided intracapsular injection of anhydrous ethanol or polycinnamol in the treatment of ovarian endometriosis cyst (OEC). Methods Forty-four patients with OEC were treated with ultrasound guided intracapsular injection of absolute ethanol (ethanol group). 42 cases were treated with ultrasound guided intracapsular injection of polycinnamol (polycinnamol group). All patients were followed up for 6 months to observe the curative effect and complications. Results six months after treatment, ethanol group, The cure rate of polycinnamol group was 95.5g / L, the difference was not significant (P0.05), the serum CA125 levels were (48.42 卤23.68) 渭 g / L, (49.21 卤22.83) 渭 g / L, (23.56 卤5.89) 渭 g / L, (25.49 卤6.10) 渭 g / L, respectively before and after operation (P0.05). The postoperative complications in polycinnamol group were significantly lower than that in ethanol group (P0.05). The cure time in ethanol group was shorter than that in polycinnamol group, but there was no significant difference in cure number after 6 months. Conclusion Ultrasound-guided intracapsular injection of polycinnamol is effective in the treatment of OEC. Compared with intracapsular injection of anhydrous alcohol, it is more safe and has fewer adverse reactions. CA125 can be used as an index to evaluate the curative effect.
【作者单位】：解放军第八六医院特诊科;
【分类号】：R711.71;R445.1

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