导管定向硬化治疗与手术切除治疗卵巢子宫内膜异位症疗效及对卵巢储备功能影响的比较

doi:10.3969/j.issn.1001-8131.2022.06.016

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Abstract Objective To compare the effect of catheter directed sclerosing agent（CDS）and surgical treatment on ovarian endometriosis and its effect on ovarian reserve function. Methods A total of 160 patients with ovarian endometriosis were selected and divided into observation group（80 cases）and control group（80 cases）according to double-blind method.The observation group was treated with CDS,and the control group was treated with surgical resection.Serum anti-Mullerian hormone（AMH）levels were compared before and after surgery.Serum cancer antigen 125（CA-125）levels,lesion size,recurrence and postoperative complications were observed and recorded. Results There was no significant difference in serum AMH between the observation group before operation（3.42±1.13）ng/ml and the observation group after operation（3.37±1.39）ng/mL（P>0.05）.The serum CA-125（26.05±7.85）U/mL and lesion size（20.06±2.97）mm in the observation group after operation were significantly lower than those before operation（63.65±20.91）U/mL and lesion size（48.62±4.20）mm in the observation group.The difference was statistically significant（P<0.05）.Serum AMH（1.78±0.64）ng/ml and serum CA-125（8.96±1.47）U/ml in control group were significantly lower than those before operation（3.21±1.13）ng/ml and serum CA-125（60.01±22.89）U/mL in control group.The difference was statistically significant（P<0.05）.There were no significant statistical differences in the number of patients with symptom remission and complications in the observation group and the control group（P>0.05）.The length of stay and the number of recurrent patients in the observation group were significantly lower than those in the control group,with statistical significance（P<0.05）. Conclusion CDS treatment is similar to surgical resection of ovarian endometriosis,but CDS method has better ovarian reserve function and shorter hospitalization time,which is worthy of clinical promotion.

Key words： Sclerotherapy Catheter Ovary Endometriosis Ovarian reserve

Received: 27 August 2021

PACS:

R711.32

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Cite this article:

Tian Huazhong. Comparison of Catheter Directed Sclerotherapy and Surgical Resection in the Treatment of Ovarian Endometriosis and Its Effect on Ovarian Reserve Function[J]. journal1, 2022, 42(6): 43-45.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2022.06.016 OR http://www.hrbyybjb.org.cn/EN/Y2022/V42/I6/43

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