现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instruments & Mediccal Treatment
2015年
6期
35-36,41
,共3页
卵巢囊肿%超声引导穿刺介入%卵巢功能
卵巢囊腫%超聲引導穿刺介入%卵巢功能
란소낭종%초성인도천자개입%란소공능
ovarian cyst%ultrasound%ovarian function
目的:探讨超声引导下穿刺介入治疗卵巢囊肿疗效及其对卵巢功能影响。方法:选取我院2013年10月至2014年10月期间收治71例卵巢囊肿患者为研究对象,采用超声引导下穿刺介入治疗,在治疗前后对患者的血清卵泡刺激素(F S H),雌激素(E2)及孕激素(P)分泌情况进行测定。同时测定卵巢患侧动脉在收缩期的峰值血流速度(Vs),舒张期血流速度(Vd)以及阻力指数(RI)变化。结果:术后6个月时囊肿治愈率91.5%,有效率98.6%。术后3、6个月时F S H分泌量显著高于治疗前(P<0.05),术后12个月时F S H分泌量与治疗前差异无统计学意义(P>0.05)。E2、P在治疗后分泌量差异无统计学意义。治疗后卵巢动脉收缩期峰值血流(V s)、舒张期流速显著升高(P<0.05)。阻力指数(R I)较治疗前明显降低(P<0.05)。结论:超声引导下穿刺介入治疗卵巢囊肿短时间可能导致卵巢功能紊乱,约12个月可恢复正常。
目的:探討超聲引導下穿刺介入治療卵巢囊腫療效及其對卵巢功能影響。方法:選取我院2013年10月至2014年10月期間收治71例卵巢囊腫患者為研究對象,採用超聲引導下穿刺介入治療,在治療前後對患者的血清卵泡刺激素(F S H),雌激素(E2)及孕激素(P)分泌情況進行測定。同時測定卵巢患側動脈在收縮期的峰值血流速度(Vs),舒張期血流速度(Vd)以及阻力指數(RI)變化。結果:術後6箇月時囊腫治愈率91.5%,有效率98.6%。術後3、6箇月時F S H分泌量顯著高于治療前(P<0.05),術後12箇月時F S H分泌量與治療前差異無統計學意義(P>0.05)。E2、P在治療後分泌量差異無統計學意義。治療後卵巢動脈收縮期峰值血流(V s)、舒張期流速顯著升高(P<0.05)。阻力指數(R I)較治療前明顯降低(P<0.05)。結論:超聲引導下穿刺介入治療卵巢囊腫短時間可能導緻卵巢功能紊亂,約12箇月可恢複正常。
목적:탐토초성인도하천자개입치료란소낭종료효급기대란소공능영향。방법:선취아원2013년10월지2014년10월기간수치71례란소낭종환자위연구대상,채용초성인도하천자개입치료,재치료전후대환자적혈청란포자격소(F S H),자격소(E2)급잉격소(P)분비정황진행측정。동시측정란소환측동맥재수축기적봉치혈류속도(Vs),서장기혈류속도(Vd)이급조력지수(RI)변화。결과:술후6개월시낭종치유솔91.5%,유효솔98.6%。술후3、6개월시F S H분비량현저고우치료전(P<0.05),술후12개월시F S H분비량여치료전차이무통계학의의(P>0.05)。E2、P재치료후분비량차이무통계학의의。치료후란소동맥수축기봉치혈류(V s)、서장기류속현저승고(P<0.05)。조력지수(R I)교치료전명현강저(P<0.05)。결론:초성인도하천자개입치료란소낭종단시간가능도치란소공능문란,약12개월가회복정상。
Objective: To investigate Influence on Ovar Function with Ovarian Cyst after Ultrasound-guided Sclerotherapy. Methods:71 patients with ovarian cysts cured in our hospital from October, 2013 to October, 2014 were selected as research object. All patients were cured with ultrasound-guided percutaneous intervention. The levels of follicle-stimulating hormone(FSH), estrogen(E2) and progesterone(P) secretion were determined before operation and postoperative. Ovarian artery peak systolic blood lfow of the affected side (Vs), diastolic velocity (Vd), resistance index (RI) were simultaneous determined. Results: The cure rate was 91.5%and the effective rate was 98.6%in 6 months. The secretion of FSH on postoperative 3 and 6 months were signiifcantly higher than before operation (P<0.05), and there was no signiifcant difference between before operation and 12 months postoperative (P>0.05).There was no signiifcant difference in the amount of E2 and P postoperative. The Vs and Vd increased signiifcantly (P<0.05). The RI was signiifcantly lower than before operation (P<0.05). Conclusions:Anhydrous ethanol sclerotherapy for ovarian cysts can have a certain impact on ovarian reserve function,but most patients recover within 12 months after surgery.