Effect of ultrasound-guided interventional treatment in the first-episode and recurrence ovarian endometrioma

Objective To compare the effect of ultrasound-guided interventional treatment in the first-episode and recurrence ovarian endometrioma.Methods Totally 275 patients of ovarian endometrioma received ultrasound-guided transabdominal or transvaginal injection of ethanol dehydration,among them,there were 122first-episode patients(first-episode group)and 153 recurrence patients(recurrence group).All the patients were followed-up for 6—12months after interventional treatment.The recurrence rate of dysmenorrhea and pelvic pain,the cure rate,markedly efficiency rate,the second efficiency rate and inefficiency rate of the two groups were compared.Results Cysts of the two groups were both completely disappeared instantly after interventional treatment.There were 119patients(146cystis,including 60 cystics in first-episode group and 86 cystics in recurrence group)completed the follow-up.At follow-up of 12 months,the recurrence rate of dysmenorrhea and pelvic pain were not statistically difference(both P0.05)between the two groups.The inefficiency rate of the first-episode group was 13.33%(8/60),which was significantly lower than that of recurrence group(27.91% [24/86],P0.05).The cure rate,markedly efficiency rate and second efficiency rate was 68.33%(41/60),5.00%(3/60)and 13.33%(8/60)in first-episode group,and 62.79%(54/86),2.33%(2/86),and 6.78%(6/86)in recurrence group,with no statistical differences(all P0.05).Conclusion Ultrasound-guided interventional treatment of ovarian endometrioma is more effective for the first-episode patients compared with the recurrence patients.