[1]李炜,智明春,李贞爱. 介入性超声治疗卵巢子宫内膜异位囊肿的临床效果[J].中国医学物理学杂志,2019,36(4):431-434.[doi:DOI:10.3969/j.issn.1005-202X.2019.04.012]
　LI Wei,ZHI Mingchun,LI Zhenai. Therapeutic effects of interventional ultrasound on ovarian endometrial cysts[J].Chinese Journal of Medical Physics,2019,36(4):431-434.[doi:DOI:10.3969/j.issn.1005-202X.2019.04.012]
点击复制

 介入性超声治疗卵巢子宫内膜异位囊肿的临床效果()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第4期
页码:
431-434
栏目:
医学影像物理
出版日期:
2019-04-25

文章信息/Info

Title:
 Therapeutic effects of interventional ultrasound on ovarian endometrial cysts
文章编号:
1005-202X（2019）04-0431-04
作者:
 李炜; 智明春; 李贞爱
 北京医院妇产科 国家老年医学中心，北京 100730
Author(s):
LI Wei;  ZHI Mingchun;  LI Zhen’ai
 Department of Gynaecology and Obstetrics, National Institute on Aging, Beijing Hospital, Beijing 100730, China
关键词:
介入性超声治疗; 卵巢子宫内膜异位囊肿; 卵巢储备功能
Keywords:
 ; Keywords: interventional ultrasound;  ovarian endometrial cyst;  ovarian reserve function
分类号:
R711.71
DOI:
DOI:10.3969/j.issn.1005-202X.2019.04.012
文献标志码:
A
摘要:
 目的：探讨介入性超声治疗卵巢子宫内膜异位囊肿的临床效果。方法：选取卵巢子宫内膜异位囊肿患者130例，根据患者最终选取的治疗方案分为观察组（n=74）和对照组（n=56），观察组给予介入性超声治疗，对照组给予腹腔镜囊肿剔除术，观察两组治疗效果。结果：观察组治愈率为90.54%，明显高于对照组的71.43%（P<0.05），而复发率为8.11%，明显低于对照组的23.31%（P<0.05）；观察组治疗后卵泡刺激素为（16.88±4.10）U/L，明显低于对照组（P<0.05），而窦状卵泡数为（4.40±0.97）个，明显高于对照组（P<0.05）；观察组治疗后卵巢间质动脉阻力指数和搏动指数分别为0.42±0.07和0.52±0.06，明显低于对照组（P<0.05），而卵巢直径为（25.02±2.83） mm，明显高于对照组（P<0.05）；观察组治疗后血清抑制素B和抗苗勒管激素分别为（118.92±30.02） ng/L和（1.10±0.50） ng/L，明显高于对照组（P<0.05）。结论：介入性超声治疗卵巢子宫内膜异位囊肿有较好效果，对患者卵巢储备功能影响较小。
Abstract:
 Abstract: Objective To investigate the clinical effects of interventional ultrasound in the treatment of ovarian endometrial cysts. Methods A total of 130 patients with ovarian endometrial cysts were selected and then divided into observation group (n=74) and control group (n=56) according to their treatment strategies. The patients in observation group were treated with interventional ultrasound, while those in control group were treated with laparoscopic cystectomy. The therapeutic effects in two groups were observed. Results Compared with control group, observation group had a significantly higher cure rate and significantly lower recurrence rate, which were 90.54% and 8.11%, respectively (P<0.05). After treatment, the follicle-stimulating hormone in observation group was (16.88±4.10) U/L, significantly lower than that in control group (P<0.05), while the number of sinusoidal follicles in observation group was 4.40±0.97, significantly higher than that in control group (P<0.05). The resistance index and pulsatility index of ovarian interstitial artery in observation group were 0.42±0.07 and 0.52±0.06, respectively, which were significantly lower than those in control group (P<0.05), while the ovarian diameter which was (25.02±2.83) mm in observation group was significantly larger than that in control group (P<0.05). Moreover, the serum inhibin B and anti-mullerian hormone in observation group were (118.92±30.02) ng/L and (1.10±0.50) ng/L, respectively, which were significantly higher than those in control group (P<0.05). Conclusion Interventional ultrasound is effective in the treatment of ovarian endometriotic cysts and has little effects on ovarian reserve function.

备注/Memo

备注/Memo:
 【收稿日期】2018-10-21
【基金项目】北京市属医院科研培育计划（PX2016021）
【作者简介】李炜，主治医师，研究方向：妇产科超声，E-mail: vicky0312@126.com
更新日期/Last Update: 2019-04-23