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目的:评价不同治疗时间对超声引导下穿刺治疗子宫内膜异位囊肿的有效性。方法:对39例卵巢子宫内膜异位囊肿患者于月经期最后一天即在超声引导下经腹穿刺抽吸囊液后注入无水乙醇作为治疗组;取既往治疗时间选择在月经来潮后3～7天内进行超声引导下经腹穿刺治疗子宫内膜异位囊肿者46例作为对照组。观察其治愈率和复发率,统计穿刺手术中及术后出血情况、术后感染发生率。结果:治疗组治愈率为82.01%,明显高于对照组的65.22%;治疗组复发率为17.95%,明显低于对照组的34.78%(P<0.05)。两组患者均无穿刺手术中及术后出血、无术后感染发生者。结论:月经期末行穿刺治疗卵巢子宫内膜异位囊肿安全性高,其疗效优于月经后治疗。
Objective: To evaluate the effectiveness of different treatment time on the ultrasound-guided puncture in the treatment of endometriosis cysts. Methods: 39 cases of ovarian endometriosis patients in the last day of the menstrual period, that is, after ultrasound-guided percutaneous aspiration of ascites fluid injection of ethanol as a treatment group; take the previous treatment time in menstruation after 3 ~ 46 cases of endometriosis were treated by ultrasound-guided abdominal puncture within 7 days as the control group. The cure rate and recurrence rate were observed. The incidence of postoperative infection and bleeding during and after puncture were statistically analyzed. Results: The cure rate of the treatment group was 82.01%, which was significantly higher than that of the control group (65.22%). The recurrence rate of the treatment group was 17.95%, which was significantly lower than that of the control group (34.78%, P <0.05). There were no puncture and postoperative bleeding in both groups, and no postoperative infection occurred. Conclusion: Endoscopic puncture for the treatment of ovarian endometriosis cysts high safety, its efficacy is better than after treatment.