对患有子宫内膜异位症的不孕妇女进行经阴道超声引导下卵巢子宫内膜异位囊肿重复抽吸。

Repeat transvaginal ultrasound-guided aspiration of ovarian endometrioma in infertile women with endometriosis.

机构信息

Department of Reproductive Health, Shen-Zhen City Maternity and Child Healthcare Hospital, Shen-Zhen, Guang-Dong Province, Peoples Republic of China.

出版信息

Am J Obstet Gynecol. 2011 Jan;204(1):61.e1-6. doi: 10.1016/j.ajog.2010.08.040.

DOI:10.1016/j.ajog.2010.08.040

PMID:20934676

Abstract

OBJECTIVE

We sought to investigate the effectiveness of repeated transvaginal ultrasound-guided aspiration of endometriomas in infertile women with endometriosis.

STUDY DESIGN

A retrospective study was performed in our department of reproductive health on 129 infertile women who underwent monthly repeated transvaginal aspiration of endometriomas. The recurrence and pregnancy were monitored during a follow-up period of 24 months.

RESULTS

Recurrences of cysts were found in 118 (91.5%) patients in the first postaspirate month and 86 (66.7%) in the second, 60 (46.5%) in the third, 28 (21.7%) in the fourth, 12 (9.3%) in the fifth, 7 (5.4%) in the sixth, and 36 (27.9%) in the 24th postaspiration month. Mean 3.1 ± 2.8 times of aspirations per patient were performed without any adverse effect. There was a linear regression relationship between the change of times of aspirations and the chance of recurrence of cysts. Overall pregnancy rate of 43.4% (56/129) was obtained.

CONCLUSION

The repetitive aspiration of endometriomas is an effective therapeutic option in patients with endometriosis.

摘要

目的

我们旨在研究对患有子宫内膜异位症的不孕妇女进行经阴道超声引导下子宫内膜异位囊肿反复抽吸术的有效性。

研究设计

我们在生殖健康部门进行了一项回顾性研究，共纳入 129 名接受每月经阴道子宫内膜异位囊肿反复抽吸术的不孕妇女。在 24 个月的随访期间，监测了囊肿的复发和妊娠情况。

结果

在第一次抽吸后的第一个月，118 名（91.5%）患者发现囊肿复发，第二次抽吸后为 86 名（66.7%），第三次抽吸后为 60 名（46.5%），第四次抽吸后为 28 名（21.7%），第五次抽吸后为 12 名（9.3%），第六次抽吸后为 7 名（5.4%），第 24 次抽吸后为 36 名（27.9%）。每位患者平均进行了 3.1±2.8 次抽吸，没有任何不良反应。抽吸次数的变化与囊肿复发的机会之间存在线性回归关系。总体妊娠率为 43.4%（56/129）。