巧克力囊肿不能拖超声引导穿刺法可有效治疗（Chocolate cyst cannot be dragged by ultrasound guided puncture, but it can be treated effectively）.doc

巧克力囊肿不能拖超声引导穿刺法可有效治疗（Chocolate cyst cannot be dragged by ultrasound guided puncture, but it can be treated effectively） Chocolate cyst cannot be dragged by ultrasound guided puncture, but it can be treated effectively Chocolate cyst can be seen in hysteroscopy under the endometrium like tissue, because of this cyst retention of old blood stasis, such as chocolate paste color, so called it chocolate cyst.. Although this disease early saw a small cyst, but the delay time does not attach importance to treatment or medication adherence, then after each menstrual cramps, severe abdominal pain, ectopic endometrial tissue in most patients, the effects of ovarian steroids, periodic hyperemia and hemorrhage and stripping menstrual like changes, so it is also called it ovarian endometriosis. At the same time, chocolate cyst is also one of the important causes of infertility. Therefore, as long as dysmenorrhea, should be checked early and found chocolate cysts should be actively treated. The principle of ultrasound guided percutaneous sclerotherapy with color Doppler ultrasound in direct monitoring, to avoid large vessels, with a special needle into the cyst, cyst fluid is drained, rinse, and alcohol injection sclerotherapy, endometrial cell necrosis cyst on the wall, rather than from each menstrual cycle the blood into chocolate like cyst fluid, and the cystic wall adhesion. As for the endocrine drugs, its principle is to inhibit ovulation, also inhibits endometrial cell hemorrhage, cystic wall adhesion and absorption for a long time. The cyst wall itself is wrapped in peritoneum and has no other tissue, and there are no other hazards in the abdominal cavity. There are two ways to puncture a chocolate cyst: one is to enter the needle from the vagina, the other is to expose the perineum to the patient, but the picture is clear and without anesthesia. Another method is to insert needles from the abdominal wall. The needle tube is stable and convenient for doctors to operate dur