【摘要】 目的探讨阴道B超介导下卵巢子宫内膜异位囊肿穿刺术后配伍促性腺激素激动剂(go-nadotropinreleasinghormoneagonist,GnRH-a)治疗的临床效果。方法对58例临床诊断为卵巢巧克力囊肿患者在B超下行囊肿穿刺术抽吸吓内液,留置无水酒精15min后抽出,所有标本送细胞学检查,将病检诊断为巧克力囊肿患者53例分为两组。用药组:穿刺术后给予诺雷德3.6mg皮下注射,每月1次,连用3~6月;对照组:穿刺术后不用药物治疗,随访9个月以上。结果用药组疗效明显高于对照组,差异有显著性。结论阴道B超下的囊肿穿刺术是对卵巢巧克力囊肿的一种可行的微创性诊断与治疗方法,术后配伍GnRH-a维持治疗能有效地控制症状和促使异位病灶萎缩。更多还原

【Abstract】 Objective: To evaluate the efficacy of transvaginal puncture guided by ultrasound combined with gonadotropin releasing hormone agonist (GnRH-a) in the treatment of endometrial cystoma of ovary. Methods: 58 cases of patients who were clinically diagnosed endometriotic cyst were enrolled. We aspirated the cysts and kept alcohol in the cysts for 15 minutes. 53 cases of patients who were diagnosed by the cytology analyses of cystic fluid were divided into two groups. Medication group: after puncture, Zoladex 3.6mg, subcutaneous injection, once a month, for 3~6 months. Contrast group: without medicine after puncture. The follow-up time was above 9 months. Results: The effect of medication group was higher than contrast group, the difference was significant. Conclusions: The methods is feasible and safe, GnRH-a′ maintenance treatment can control symptom effectively and urge focus atrophy.更多还原