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目的 :针对卵巢囊肿患者实施超声引导下无水乙醇硬化方式治疗,观察卵巢功能改变的情况。方法 :选取卵巢囊肿患者51例56个囊肿作为研究对象,均实施超声引导下无水乙醇硬化治疗的方式,并观察治疗后卵巢功能的改善情况。结果 :在实施第一次治疗后,在半年内有43个囊肿消失,治愈率达到76.79%;有52个囊肿在一年以后消失,治愈率为92.86%;经过第二次治疗,4个囊肿于半年内消失以及治愈率为100.00%。治疗后的3个月月经周期,于治疗侧卵巢内不可见卵泡,非治疗侧卵巢内存在卵泡;经过治疗以后,患者的雌三醇以及雌二醇和睾酮水平保持正常;48例患者在治疗后平均推迟月经的时间为(6.8±0.5)天,并且出现46例患者月经减少,2例无变化以及3例月经增多;并于治疗以后的第2个月、第3个月患者的月经周期达至正常状态,月经量恢复;针对双侧卵巢囊肿的治疗,同单侧相比较,月经延迟的时间较长。结论 :采用超声引导下无水乙醇硬化方式对于卵巢囊肿患者进行治疗,会导致卵巢功能在较短的时间内发生紊乱情况,但临床疗效较理想,治愈率高。
Objective: To observe the effect of ultrasound-guided absolute ethanol sclerosis on ovarian cyst in ovarian cancer patients. Methods: Totally 56 cysts from 51 patients with ovarian cysts were enrolled in this study. All patients underwent ultrasound-guided ethanol sclerotherapy and observed the improvement of ovarian function after treatment. Results: After the first treatment, 43 cysts disappeared within six months, the cure rate reached 76.79%; 52 cysts disappeared one year later, the cure rate was 92.86%; after the second treatment, four cysts Disappeared within six months and the cure rate was 100.00%. 3 months after treatment menstrual cycle, in the side of the treatment of ovarian follicle is not visible, side of the non-treatment of ovarian follicles in memory; after being treated, estriol and estradiol and testosterone levels in patients maintain normal; after treatment 48 patients On average, the menstrual period was delayed to (6.8 ± 0.5) days, with 46 cases of menorrhagia, 2 cases of no change, and 3 cases of menstruation. On the 2nd and 3rd month after treatment, the menstrual cycle reached To normal conditions, menstrual volume recovery; for bilateral ovarian cyst treatment, compared with the unilateral, menstrual delay longer. Conclusion: Ultrasound - guided absolute ethanol sclerotherapy for ovarian cysts in patients with treatment, will lead to ovarian dysfunction in a short period of time disorder, but the clinical efficacy is satisfactory, the cure rate is high.