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目的 探讨阴道 Ｂ超引导下穿刺抽液治疗卵巢巧克力囊肿的优点、适应证、手术要点及临床应用价值。方法 对３４例卵巢巧克力囊肿患者采用阴道Ｂ超引导下经阴道后穹窿穿刺抽取囊液，再注入无水乙醇，使囊壁组织凝固硬化并失去活力。结果３４例均为一次穿刺抽液成功，术中、术后无不良反应。随访５个月至２年１０个月，痛经消失２７例，３例不孕患者妊娠１例。Ｂ超复查囊肿于６～１３个月逐渐消失，未见复发者。结论Ｂ超引导下穿刺抽液注入乙醇治疗卵巢巧克力囊肿创伤小，无复发，具有简单、安全、患者痛苦少及较好的实用性等优点。
Objective To investigate the advantages, indications, operative points and clinical value of transvaginal drainage under the guidance of vaginal ultrasound in the treatment of ovarian chocolate cysts. Methods 34 cases of patients with ovarian chocolate cyst were transvaginally culled punctured by vaginal vaginal fornix and then injected with absolute ethanol to coagulate and deactivate the cyst wall tissue. Results All the 34 cases were successfully punctured by puncture. There were no adverse reactions during and after operation. Followed up for 5 months to 2 years and 10 months, 27 cases of dysmenorrhea, pregnancy in 3 cases of infertility in 1 case. B ultrasound examination of the cyst in 6 to 13 months gradually disappear, no recurrence. Conclusion B-ultrasound guided puncture fluid injection ethanol treatment of ovarian chocolate cyst trauma, no recurrence, with simple, safe, less pain and good practicality and so on.