[目的]探讨超声引导下聚桂醇介入治疗联合术后口服孕三烯酮治疗卵巢子宫内膜异位囊肿患者的临床效果.[方法]选取2021年1月至2023年12月在陕西省扶风县人民医院诊治的82例卵巢子宫内膜异位囊肿患者,根据治疗方法不同分为对照组和观察组,每组41例.对照组行超声引导下聚桂醇介入治疗,观察组行超声引导下聚桂醇介入治疗联合术后口服孕三烯酮治疗.比较两组手术指标(手术时间、住院时间)、术后并发症发生情况及术前、治疗后5 d卵巢功能指标[卵泡刺激素(FSH)、黄体生成素(LH)]水平.[结果]观察组住院时间短于对照组(P＜0.05).观察组总有效率为95.12％,显著高于对照组的78.05％(P＜0.05).与术前比较,两组治疗后5 d FSH、LH水平均升高,但观察组治疗后5 d FSH、LH水平低于对照组(P＜0.05).观察组并发症总发生率为7.32％,显著低于对照组的24.39％(P＜0.05).[结论]超声引导下聚桂醇介入治疗联合术后口服孕三烯酮治疗卵巢子宫内膜异位囊肿患者,效果显著,可促进患者术后恢复,改善卵巢功能,降低并发症发生率.
Clinical Efficacy of Ultrasound-guided Intervention Therapy with Lauromacrogol Combined with Postoperative Oral Gestrinonein the Treatment of Patients with Ovarian Endometriotic Cysts
[Objective]To explore the clinical effect of ultrasound-guided intervention with Lauromacrogol combined with postoperative oral Gestrinonein in the treatment of patients with ovarian endometriotic cysts.[Methods]A total of 82 patients with ovarian endometriotic cysts treated at the People's Hospital of Fufeng County,Shaanxi Province from January 2021 to December 2023 were selected.They were divided into a con-trol group and an observation group based on different treatment methods,with 41 cases in each group.The control group received ultrasound-guided intervention therapy with Lauromacrogol,while the observation group received ultrasound-guided intervention therapy with Lauromacrogol combined with postoperative oral Gestrinonein treatment.Two groups of surgical indicators(surgery time,hospital stay),incidence of postop-erative complications,and levels of ovarian function indicators[follicle stimulating hormone(FSH)and lutein-izing hormone(LH)]before and 5 days after treatment were compared.[Results]The hospitalization time of the observation group was shorter than that of the control group(P＜0.05).The total effective rate of the ob-servation group was 95.12％,significantly higher than 78.05％of the control group(P＜0.05).Compared with preoperative treatment,FSH and LH levels increased in both groups 5 days after treatment,but the FSH and LH levels in the observation group were lower than those in the control group 5 days after treatment(P＜0.05).The total incidence of complications in the observation group was 7.32％,significantly lower than the control group's 24.39％(P＜0.05).[Conclusion]The combination of ultrasound-guided Lauromacrogol inter-vention with oral Gestrinonein is effective in treating patients with ovarian endometriotic cysts.It can promote postoperative recovery,improve ovarian function,and reduce the incidence of complications.
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