经阴道超声引导穿刺应用消痔灵治疗卵巢巧克力囊肿的临床观察

Clinical Observation on Treating Chocclatc Cyst of Ovary with Xiaozhiling Punctured by Ultrasound Wave Through Vagina

目的 探讨经阴道超声 (TVS)引导穿刺应用消痔灵治疗卵巢巧克力囊肿的价值。方法 将6 0名确诊为卵巢巧克力囊肿且最大内径超过 3cm的患者 ,随机分为消痔灵组和无水酒精组 (对照组 ) ,每组各 30人。术前与术后半年及 1年测定病灶大小、卵巢动脉阻力指数 (RI)。两组结果进行对比研究。结果 1年后复发率治疗组优于对照组 (P <0 0 5 ) ,RI均由高阻型变为低阻型 ,且治疗组更为显著 (P <0 0 5 )。结论 利用TVS引导穿刺技术 。

Objective To probe into the value of treating of chocclatc cyst ovary (CCO) with Xiaozhiling punctured by ultrasound wave through vagina (TVS). Method Sixty cases of CCO (with 3cm maximum diameter of chocclatc cyst) were randomly divided into two groups (30 cases in each group), one was treated with Xiaozhiling, and another one was infused with ethyl alcohol. Then the size of focuses and ovarian arterial resistance indexes (RI) were surveyed in half year and one year after the treatment. The outcomes of double groups were compared and studied. Result The recurrent rate of treatment group after one year was lower than that of control group ( P <0 05). RI was changed from high resistance to low resistance and it was more remarkable in treatment group ( P <0 05). Conclusion The treatment of CCO with Xiaozhiling punctured by TVS had great value to clinical application.