目的:探讨超声引导下经腹经阴道穿刺介入治疗盆腔良性囊性肿物的效果.方法:治疗组包括164例盆腔囊性肿物,在超声引导下经腹或阴道穿刺,抽出囊液,生理盐水(或甲硝唑注射液)冲洗囊腔后无水乙醇灭活囊肿壁.对照组包括本院妇产科127例盆腔囊性肿物患者,治疗方法为腹腔镜下行囊肿剥离术.治疗组手术时间、术后不良反应、并发症、囊肿治疗效果及复发率与对照资料进行对比并作统计学分析.结果:两组治疗效果良好,总有效率治疗组96.34％,对照组98.43％,二者对比无显著性差异(P＞0.05).术后不良反应及并发症治疗组少于对照组,有显著性差异(P＜0.05).结论:超声引导下穿刺介入治疗囊性肿物简便微创、安全有效、副作用小,为临床治疗首选方案.%Objective: To evaluate the effect of transabdominal or transvaginal ultrasound - guided interventional treatment on pelvic innocuous ovarian cysts. Methods: Treatment group (164 cases of pelvic ovarian cysts) underwent ultrasound - guided transabdominal or transvaginal puncture normal saline (or Metronidazole injection) washed cysts and then anhydrous alcohol was used to inactivat cyst wall. Control group ( 127 cases of pelvic ovarian cysts) were stripped in laparoscopic. Operation time, postoperative adverse reaction, complications, treatment effect, and recurrence rate of the gtwo groups were compared and analysed. Results: The effects of two groups were good, the total effective rate were 96. 34% and 98. 43% in treatment group and control group respectively, there was no significant difference between the two groups (P >0.05). Postoperative adverse reaction and complications of treatment group were less than that of the control group, the differences were significant ( P < 0. 05 ). Conclusion: Ultrasound - guided interventional treatment of ovarian cysts is safe, effective, minimally invasive, and it is the first choice for clinical treatment.
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