Giorlandino C, Taramanni C, Muzii L, Santillo E, Nanni C, Vizzone A
Artemisia Medical Center, Rome, Italy.
Int J Gynaecol Obstet. 1993 Oct;43(1):41-4. doi: 10.1016/0020-7292(93)90272-x.
To evaluate the outcome of ultrasound-guided aspiration of ovarian endometriotic cysts.
Thirty-four patients with ovarian endometriomas were submitted to transvaginal (28 patients) or transabdominal (6 patients) ultrasound-guided aspiration of the cyst content, and then followed with serial ultrasonograms for a mean period of 12 months (range 6-20 months).
The procedure was successful in all cases, and no early complications occurred. The recurrence rate was 53%, and it was not influenced significantly by the preoperative or postoperative administration of medical suppressive therapy.
Ultrasound-guided aspiration of ovarian endometriomas yields a relatively high recurrence rate, and can be proposed as an alternative treatment when surgery is undesired or contraindicated.
评估超声引导下卵巢子宫内膜异位囊肿抽吸术的效果。
34例卵巢子宫内膜异位囊肿患者接受经阴道(28例)或经腹(6例)超声引导下囊肿内容物抽吸术,随后进行系列超声检查,平均随访12个月(范围6 - 20个月)。
所有病例手术均成功,无早期并发症发生。复发率为53%,术前或术后给予药物抑制治疗对其无显著影响。
超声引导下卵巢子宫内膜异位囊肿抽吸术复发率相对较高,在患者不愿接受手术或存在手术禁忌时可作为一种替代治疗方法。