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目的探讨阴道超声对复发性卵巢子宫内膜异位囊肿治疗的临床价值。方法对35例复发性卵巢子宫内膜异位囊肿的声像图进行回顾性分析,并经阴道超声引导穿刺、无水乙醇注入治疗,观察随访1年。结果35例患者共42个囊肿,根据声像图特点囊肿分为三类,即单房型(30例),多房型(3例),混合型(2例)。超声诊断均为卵巢子宫内膜异位囊肿,与病理结果完全符合,诊断准确率为100%。穿刺均一次成功。30例治愈,5例复发,治愈率为85.7%,总有效率为100%。结论阴道超声对复发性卵巢子宫内膜异位囊肿诊断准确。同时应用阴道超声对其介入治疗,是一种安全﹑简单﹑微创﹑有效的方法,尤其适合治疗术后复发患者。
Objective To investigate the clinical value of vaginal ultrasound in the treatment of recurrent ovarian endometriotic cyst. Methods A retrospective analysis of 35 cases of recurrent ovarian endometriosis cyst by transvaginal ultrasound guided puncture, ethanol injection, the observation was followed up for 1 year. Results A total of 42 cysts were found in 35 patients. According to the features of sonography, the cysts were divided into three categories: single-chamber type (30 cases), multi-chamber type (3 cases) and mixed type (2 cases). Ultrasound diagnosis of ovarian endometriosis were completely consistent with the pathological results, the diagnostic accuracy was 100%. Puncture were successful. 30 cases were cured, 5 cases relapsed, the cure rate was 85.7%, the total effective rate was 100%. Conclusion Vaginal ultrasound diagnosis of recurrent ovarian endometriosis cysts accurate. At the same time the application of vaginal ultrasound interventional treatment, is a safe, simple, minimally invasive and effective method, especially for the treatment of postoperative recurrence patients.