卵巢巧克力囊肿乙醇硬化配伍疗效观察.docVIP

卵巢巧克力囊肿乙醇硬化配伍疗效观察 【关键词】 卵巢巧克力 【摘要】 目的 观察无水乙醇硬化配伍孕三烯酮治疗卵巢巧克力囊肿的临床疗效。方法 59例单侧卵巢巧克力囊肿，于月经第1天开始服用孕三烯酮2.5mg，每周2次连服3个月，月经后3～7天内，行超声引导下穿刺。生理盐水冲洗拔针，观察30min无特殊不适，血压脉搏正常后离院，同时口服抗生素1周预防感染，并嘱随访。结果 54例包块消失，5例包块存在，但有不同程度缩小，改行腹腔镜手术，有效率91.53%;32例治疗前有痛经症状，治疗后均有不同程度缓解，完全缓解24例，部分缓解8例，总缓解率100%;7例为术后6～18个月复发，复发率为12.95%。讨论 乙醇硬化配伍孕三烯酮治疗巧克力囊肿尤其是无明显手术指征或不愿手术治疗的患者，是一种有效的治疗方法。 【关键词】 卵巢巧克力囊肿 孕三烯酮 乙醇硬化 Clinical observation on effect of ethanol sclerosis combined with gestrinone in chocolate cyst of ovary Mao Shihua，Peng Fangliang，Xiang Yang，et al. Department of Gynecology，Central Three Gorge Hospital of Chongqing，Chongqing404000. 【Abstract】 Objective To observe the clincal effect of anhydrous alcohol combined with gestrinone in chocolate cyst of ovary.Methods Fifty-nine patients with lateral chocolate cyst of ovary were administered with gestrinone2.5mg，two times per week for three months from the first day of menstruation.Three to sevendays after menstruation，puncture guided by ultrasound was performed，then followed with normal saline flushing.Till blood pressure and pulse rate were normal，patients were dismissed from hospital.Results There were fifty-four cases with packet abolished and five with size decreased.After further ventroscopic operation，the efficiency rate was91.53%.Complete menorrhalgia remisˉsion were observedin24cases，partial remission in8cases.The total ratio of remission was100%.There were only7cases relapse after6～18months of peration.Conclusion Ethanol sclerosis combined with gestrinone to treat chocolate cyst of ovary is a helpful measure for those reluctant to accept operation or no operation indication.Key Word chocolate cyst of ovary ethanol sclerosis gestrinone 我院对59例卵巢巧克力囊肿无水乙醇硬化配伍孕三烯酮药物治疗，并将其治疗后疗效及痛经缓解率，有效率，复发率进行了分析总结，报告如下。 1 资料与方法 1.1 一般资料 2001年7月～2002年9月我院门诊就诊的单侧卵巢巧克力囊肿59例患者，年龄23～40岁，囊肿直径4～7cm，其中32例有不同程度痛经史。 1.2 方法 1.2.1 病例入选标准 有痛经症状，附件扪及欠活动压痛包块，超声检查具有典型巧克力囊肿图像，囊肿边界欠清、壁厚、内壁欠光滑，囊内为透声较差的液性暗区，并有细小光点，包块持续存在2个月以上。 1.2.2 治疗方法 于月经第1天开始服用孕三烯酮2.5mg（北京紫竹药业有限公司出品），每周2次连服3