超声引导下穿刺加口服米非司酮治疗子宫内膜异位囊肿的疗效

Effects of Mifestone and Puncture Treatment on Endometrial Cysts

目的:探讨超声引导下经腹壁穿刺并术后口服米非司酮的方法治疗子宫内膜异位囊肿的疗效。方法:回顾性分析我院1996年12月-2005年6月共收治子宫内膜异位症患者112例,囊肿病灶141个,采用囊肿穿刺硬化术加口服米非司酮的方法治疗,穿刺术后6个月进行B型超声复查,随访1-3年。结果:全部病例随访6月,治愈率73.0%(103/141);显效率20.6%(29/141);总有效率93.6%。随访治疗有效的132个囊肿病灶,1年的复发率24.2%(32/132),2年复发率39.2%(49/125),3年总复发率53.1%(60/113)。结论:穿刺硬化术联合口服米非司酮治疗子宫内膜异位囊肿,方法简便、安全、治疗痛苦小、并发症少、疗效较满意。

Objective： To study the effects of endometrial cysts treated by milestone and ultrasonographic guidance puncture. Methods： From December, 1996 to June, 2005, 112 cases of endometrsis were observed and 141 endometrial cysts treated by ultrasonographic guidance puncture and mifestone, and were followed up for 1-3 years. Results： Of all the cases the curative rate was 73.0% （103/141） in six months and the markedly improved rate was 20.6% （29/141）, the totally effective rate was 93.6%. The reoccurrence rate was 24.2% （32/132） and 39.2% （49/125） in one and two years respectively. Totally reoccurrence rate was 53. 1% （60/113） in three years. Conclusion： The combination of ultrasonographic guidance puncture and injection of aluminous is safe and effective in the treatment of endometrial cysts and easy to operate, and milestone can prevent recurrence effectively.