川北医学院学报2025，Vol.40Issue(4)：463-466,479,5.DOI:10.3969/j.issn.1005-3697.2025.04.013
超声引导下无水乙醇介入治疗卵巢子宫内膜异位囊肿疗效
Analysis of influencing factors of ultrasound-guided anhydrous ethanol in-terventional therapy for ovarian endometriosis cysts
摘要
Abstract
Objective:To analyze the influencing factors of ultrasound-guided anhydrous ethanol interventional therapy in the treatment of ovarian endometriosis cyst(OEC).Methods:The clinical data of 109 patients with OEC were retrospectively analyzed.Ac-cording to the cyst volume reduction rate and symptom relief status at 6 months after treatment,the patients were divided into effective group(cyst volume reduction ≥ 50％and significant symptom improvement,n=82)and ineffective/partially effective group(cyst vol-ume reduction＜50％or not significant symptom improvement,n=27).Univariate and multivariate Logistic regression analyses were used to screen the influencing factors of the efficacy.Results:Univariate analysis showed that age,cyst diameter,cyst wall thickness,number of cysts,loculated cyst,side of cyst,history of endometriosis surgery,uterine fibroids or infertility,postoperative gonadotropin-re-leasing hormone agonist(GnRH-a)use,postoperative residual mass and preoperative serum CA125 level were related to efficacy(P＜0.05).Multivariate Logistic regression analysis suggested that age,cyst diameter,cyst wall thickness,loculated cyst,cyst side,postoper-ative residual mass and preoperative serum CA1 25 were independent risk factors,while postoperative GnRH-a use was a protective fac-tor(P＜0.05).Conclusion:Older age,thick cyst wall thickness,loculated cyst,postoperative residual mass and elevated preoperative serum CA125 level are risk factors affecting the efficacy of ultrasound-guided anhydrous ethanol interventional therapy for OEC.关键词
卵巢囊肿/子宫内膜异位症/超声检查/介入性/影响因素分析Key words
Ovarian cysts/Endometriosis/Ultrasound examination/Interventional therapy/Analysis of influencing factors分类
医药卫生引用本文复制引用
李苗,王闯,梁汝娜..超声引导下无水乙醇介入治疗卵巢子宫内膜异位囊肿疗效[J].川北医学院学报,2025,40(4):463-466,479,5.基金项目
陕西省卫生健康科研项目(2019D015) （2019D015）
