彩色多普勒超声引导介入治疗妇科盆腔囊性病变临床研究

Clinical Study of Color Doppler Ultrasound Guided Interventional Treatment of Gynecological Pelvic Cystic Lesions

目的分析彩色多普勒超声引导介入治疗妇科盆腔囊性病变的临床疗效。方法选取2013年12月至2016年10月我院妇科收治的盆腔囊性病变患者256例作为研究对象,随机均分为两组。对照组患者给予临床外科开腹手术治疗,而试验组患者给予彩色多普勒超声引导介入治疗。回顾患者治疗后的临床效果、并发症和生活质量。结果卵巢囊肿患者抽取的囊液呈现清亮和淡黄色,而内膜异位囊肿中呈现暗红色和褐色,盆腔包裹性积液中呈淡黄色和暗红色。三种病变盆腔包裹性积液中的囊液量最多,为(120.4±39.5)mL。试验组患者在治疗期间出现局部疼痛、虚弱无力、肺部感染等并发症人数均少于对照组,差异有统计学意义(P<0.05)。试验组患者的治愈率、满意率均高于对照组,(P<0.05)。结论临床引入彩色多普勒超声引导介入治疗妇科盆腔囊性病变是一种微创治疗,有较好的临床价值。

Objective To investigate and analyze the clinical effect of color Doppler ultrasound guided interventional treatment of gynecological pelvic cystic lesions. Methods 256 patients with pelvic cystic lesions admitted to our hospital in De- cember 2013 October -2016 were selected as the subjects of this report and were randomly divided into two groups. Patients in the control group were treated with clinic open surgery, while patients in the experimental group were given Color Doppler ultrasound guided interventional treatment. The clinical outcomes, complications, and quality of life were reviewed. Results The results showed that the cysts extracted from patients with ovarian cysts were clear and yellowish, whereas the endometriotic cysts were dark red and brown, and the pelvic encapsulated effusion was pale yellow and dark red. The volume of cyst fluid in the pelvic cavity effu- sion of three kinds of lesions was the most,which was（ 120.4 ＋ 39.5 ） mL. The number of complications such as local pain,weak- ness,lung infection and other complications in the experimental group were better than those in the control group （P 〈 0.05 ）. The cure rate and satisfaction rate of the experimental group were both higher than those of the control group, P 〈 0. 05. Conclusion The clinical application of color Doppler ultrasound guided interventional treatment of gynecological pelvic cystic lesions is a mini- mally invasive treatment, which has good clinical value.