B超引导下穿刺治疗卵巢子宫内膜异位症的临床治疗

Clinical efficiency of B-type-ultrasonography-guided puncture for treating ovarian endometriosis

目的:探讨经B超引导下穿刺治疗卵巢子宫内膜异位症的临床疗效。方法:选取液化较完全、囊肿内分隔较少的卵巢子宫内膜异位症患者146例,随机分为对照组(62例)和观察组(84例)。对照组采用传统的切开术进行操作,观察组采用B超引导下的穿刺治疗术。比较2组患者术后的疗效、复发率、排卵率、妊娠率和再手术率。结果:观察组治愈率为73.8%(62/84),有效率为97.6%(82/84),均高于对照组(P<0.05);观察组复发率为4.8%(4/84),再手术率为4.8%(4/84),均低于对照组(P<0.05);观察组排卵率为100%(84/84),妊娠率为76.2%(64/84),均高于对照组(P<0.05)。结论:经B超引导下穿刺治疗液化较完全、囊肿内分隔较少的卵巢子宫内膜异位症,可显著提高治愈率、妊娠率,降低再手术率,值得推广。

Objective To explore the clinical efficiency of B-type-ultrasonography-guided puncture for treating ovarian endometriosis.Methods Totally 146 ovarian endometriosis patients with well colliquation and few inner compartments were randomly divided into a control group（n =62） and an observation group（n =84）.The control group underwent the treatment of section,and the observation group went through puncture guided by B-type ultrasonography.The efficiencies,recurrence rates,ovulation rates,pregnancy rates and reoperation rates of the two groups were compared.Results The observation group had the recovery rate,effectiveness rate,ovulation rate and pregnancy rate being 73.8%（62/84）,97.6%（82/84）,100%（84/84） and76.2%（64/84） respectively,which were all significantly higher than those of the control group（P〈0.05）.The recurrence rate and reoperation rate of the observation group were both 4.8%（4/84）,which were both significantly lower than those of the control group（P〈0.05）.Conclusion B-type-ultrasonography-guided puncture can significantly increase the recovery rate and pregnancy rate while decrease the reoperation rate of ovarian endometriosis,and thus is worthy popularizing practically.