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目的:探讨分析经阴道超声穿刺治疗卵巢巧克力囊肿在治疗不孕症中的临床疗效,旨在为临床治疗卵巢巧克力囊肿提供新的依据。方法:2004年1月~2014年2月来该院妇科就诊的52例卵巢巧克力囊肿合并不孕症患者作为研究对象,采用随机的方法分为2组。其中对照组患者26例采用腹腔镜下卵巢巧克力囊肿摘除术,研究组患者26例采用超声引导下经阴道穿刺治疗卵巢巧克力囊肿,对2组患者术后结果进行比较。结果:两组患者在术后一般情况比较中,出血量和住院时间具有统计学差异,P<0.05。研究组在痛经缓解、1年内复发率和妊娠率与对照组相比具有统计学差异,P<0.05。结论:超声下经阴道穿刺治疗巧克力囊肿具有安全、高效、创伤小、提高妊娠率等特点,临床上值得推广。
Objective: To investigate the clinical efficacy of transvaginal ultrasound puncture in the treatment of ovarian chocolate cyst in the treatment of infertility, and to provide a new basis for the clinical treatment of ovarian chocolate cysts. Methods: From January 2004 to February 2014, 52 cases of ovarian chocolate cyst with infertility who came to the hospital for gynecology were divided into two groups randomly. Among them, 26 cases of control group were treated with laparoscopic ovarian chocolate cyst excision, 26 cases of study group were transvaginal ultrasound-guided transvaginal treatment of ovarian chocolate cyst, and the results of two groups were compared. Results: The two groups of patients in the postoperative general comparison, the amount of bleeding and hospitalization with a statistically significant difference (P <0.05). The study group was relieved of dysmenorrhea, and the recurrence rate and pregnancy rate within one year had statistical difference compared with the control group (P <0.05). Conclusion: Ultrasound transvaginal treatment of chocolate cyst has the characteristics of safety, high efficiency, less trauma and higher pregnancy rate, so it is clinically worth to be popularized.