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目的探讨超声引导下穿刺注射无水乙醇加口服米非司酮治疗腹壁切口子宫内膜异位症的疗效。方法回顾分析我院2009年8月至2011年3月共收治腹壁切口子宫内膜异位症患者65例,随机分为两组,其中治疗组(即采用经超声引导下穿刺注射无水乙醇加口服米非司酮组)33例,对照组(即单用经超声引导下穿刺注射无水乙醇组)32例,比较两组的疗效及复发率。结果穿刺后两组异位结节及症状均消失而痊愈,复发率方面65例随访60例(5例失去随访),随访1年,治疗组及对照组复发率各为10(3/31)及38(11/29),两组间比较差异有统计学意义(P<0.01)。结论超声引导下穿刺注射无水乙醇加口服米非司酮治疗腹壁切口子宫内膜异位症优于单用超声引导下穿刺注射无水乙醇治疗腹壁切口子宫内膜异位症,并且副作用及创伤小,复发率低,值得推广。
Objective To investigate the curative effect of ultrasound-guided puncture injection of absolute alcohol and oral mifepristone for abdominal incision endometriosis. Methods A retrospective analysis of our hospital from August 2009 to March 2011 were treated 65 cases of abdominal incision endometriosis patients were randomly divided into two groups, of which the treatment group (that is, under the guidance of ultrasound-guided injection of ethanol 33 patients in the oral mifepristone group and 32 in the control group (ie, single ethanol injection group under the guidance of ultrasound). The curative effect and recurrence rate of the two groups were compared. Results After euthanasia, ectopic nodules and symptoms disappeared in both groups. The recurrence rate was 65 (60 cases were followed up), followed up for 1 year. The recurrence rate was 10 (3/31) in treatment group and control group, And 38 (11/29), respectively. The difference between the two groups was statistically significant (P <0.01). Conclusion Ultrasound-guided puncture with absolute ethanol plus oral mifepristone for abdominal incision endometriosis is superior to the single ultrasound-guided puncture with absolute ethanol for abdominal incision endometriosis with side effects and trauma Small, low recurrence rate, worth promoting.