乙醇硬化疗法与手术治疗卵巢子宫内膜异位症后卵巢储备功能的比较。
Ovarian reserve after treatment of ovarian endometriomas by ethanolic sclerotherapy compared to surgical treatment.
机构信息
Department of Obstetrics and Gynaecology, Craiova University of Medicine and Pharmacy, Filantropia Clinical Hospital, Craiova, Romania.
出版信息
Eur Rev Med Pharmacol Sci. 2023 Jun;27(12):5575-5582. doi: 10.26355/eurrev_202306_32795.
OBJECTIVE
To preserve ovarian reserve, we treated ovarian endometriomas by ultrasound-guided aspiration followed by sclerotherapy of the cyst mucosa. We compared the results with laparoscopic cystectomy.
PATIENTS AND METHODS
We conducted a retrospective study of 96 women with ovarian endometriomas. In 54 of the women, ultrasound-guided aspiration of the contents was performed, followed by chemical sclerotherapy of the cyst plaque with ethanol. Laparoscopic cystectomy was performed in the remaining 42 women.
RESULTS
Statistical analysis of anti-Mullerian hormone (AMH) levels before and after the procedures showed a significant decrease in the case of cystectomy compared with ethanolic ovarian sclerotherapy (EOS).
CONCLUSIONS
Conservative treatment by echo-assisted puncture and sclerotherapy with ethanol proved to be a viable treatment for the removal of ovarian endometriomas. It is a simple procedure that does not affect ovarian reserve or fertility.
目的
为了保护卵巢储备功能，我们采用超声引导下抽吸联合囊壁硬化治疗术治疗卵巢子宫内膜异位囊肿，并将其与腹腔镜卵巢囊肿切除术的效果进行了比较。
患者与方法
我们对 96 例卵巢子宫内膜异位囊肿患者进行了回顾性研究。其中 54 例患者采用超声引导下抽吸囊内物，然后用无水乙醇硬化囊壁；其余 42 例患者采用腹腔镜卵巢囊肿切除术。
结果
对两种手术前后抗苗勒管激素（AMH）水平进行统计学分析，结果显示与乙醇卵巢硬化治疗术相比，卵巢囊肿切除术组 AMH 水平显著下降。
结论
超声辅助穿刺抽液联合乙醇硬化治疗是一种可行的治疗卵巢子宫内膜异位囊肿的方法，它是一种简单的手术，不会影响卵巢储备功能或生育能力。
Zotero 插件