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目的:探讨对不孕年限较短的卵巢子宫内膜异位囊肿患者的治疗方法。方法:囊肿小者先予自然周期监测排卵并指导性生活3~6个周期;囊肿大者以及自然周期监测排卵未孕者全部行子宫输卵管造影;再选择输卵管通畅者进行阴道超声引导下卵巢囊肿穿刺术,术后注射达菲林至复查阴道B超无囊肿再次生长或囊肿很小。待月经复潮后于月经周期第1天开始服用散结镇痛胶囊,同时从月经周期第3~5天开始诱导排卵并指导性生活3~6个疗程。结果:12例自然周期监测排卵患者中3例获临床妊娠;49例穿刺术后诱导排卵患者中31例获临床妊娠。结论:对于卵巢子宫内膜异位囊肿伴不孕患者应依据年龄、不孕年限、病变程度以及是否合并其他不孕因素等实际情况进行综合分析,为其制定周密的连续的个体化治疗方案。
Objective: To explore the treatment of ovarian endometriosis patients with short duration of infertility. Methods: The small cysts were given natural cycles to monitor ovulation and guide the life of 3 to 6 cycles; large cysts and natural cycles to monitor ovulation are not pregnant all the line of uterine tubal angiography; then select tubal patency under the guidance of vaginal ultrasound ovarian cyst Puncture, postoperative injection of dafenlin to review vaginal B-no cyst again growth or small cysts. To be menstruation after tide in the first day of the menstrual cycle began taking Sanjie analgesic capsules, while 3 to 5 days from the menstrual cycle to induce ovulation and guiding life 3 to 6 courses. Results: Of the 12 patients with ovulation who were monitored by natural cycle, 3 had clinical pregnancy, and 31 of the 49 patients who received ovulation after puncture achieved clinical pregnancy. Conclusion: For ovarian endometriosis cyst with infertility patients should be based on age, age of infertility, the extent of the disease and whether combined with other factors such as infertility, the actual situation of a comprehensive analysis for its well-developed continuous individualized treatment options.