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目的探讨经阴道超声引导下卵巢巧克力囊肿硬化治疗的应用效果。方法 80名单侧卵巢巧克力囊肿患者平分为两组-治疗组与对照组各40例,治疗组采用经阴道超声引导下硬化治疗,对照组采用传统开腹手术治疗。结果术前两组患者E2、P、T、FSH、LH激素水平比较差异无统计学意义(P>0.05)。术后1个月两组均出现E2水平降低,FSH及LH水平升高,分别与术前相比差异具有显著意义(P<0.05),两组间比较也有显著性差异(P<0.05)。术后3月两组E2水平均上升,FSH,LH水平下降,与术前相比差异无显著性(P>0.05),但与术后1月比较差异有显著性(P<0.05),两组间比较也有显著性差异(P<0.05)。两组术前PSV、EDV和RI对比无明显差异(P>0.05),经过术后,治疗组与对照组上述指标与术前比较也均无显著差异(P>0.05)。结论经阴道超声引导下卵巢巧克力囊肿硬化的治疗能有效改善卵巢激素水平,同时对术后动脉血流参数的近期影响不大,值得推广应用。
Objective To investigate the effect of transvaginal ultrasound-guided treatment of ovarian chocolate cyst sclerosis. Methods Eighty patients with unilateral ovarian chocolate cyst were equally divided into two groups: 40 cases in the treatment group and 40 cases in the control group. The patients in the treatment group underwent transvaginal ultrasound guided sclerotherapy and the control group in the conventional open surgery. Results There was no significant difference in E2, P, T, FSH and LH levels between the two groups before operation (P> 0.05). The level of E2 and the level of FSH and LH in the two groups after operation were significantly lower than those before operation (P <0.05). There was also a significant difference between the two groups (P <0.05). The levels of E2 in both groups rose at March, and the levels of FSH and LH decreased, there was no significant difference between preoperative and postoperative (P> 0.05), but there was significant difference between January and February (P <0.05) There was also significant difference between groups (P <0.05). There was no significant difference in preoperative PSV, EDV and RI between the two groups (P> 0.05). After the operation, there was no significant difference between the two groups in preoperative parameters and before operation (P> 0.05). Conclusion Transvaginal ultrasound guided treatment of ovarian chocolate cyst can effectively improve the level of ovarian hormone. At the same time, it has little effect on the postoperative arterial blood flow parameters and should be popularized and applied.