经直肠超声引导下苗勒氏管囊肿和精囊囊肿抽液治疗  

Transrectal ultrasound-guided aspiration therapy for Müllerian duct cyst and seminal vesicle cyst

作　　者：张舜欣[1] 唐杰[1] 王旸[1] 杨敬春[1] 

机构地区：[1]解放军总医院超声科,北京100853

出　　处：《中国医学影像技术》2008年第3期427-429,共3页Chinese Journal of Medical Imaging Technology

基　　金：国家自然科学基金资助(30772179)

摘　　要：目的探讨经直肠超声引导下对苗勒氏管囊肿和精囊囊肿抽液后使用无水乙醇硬化治疗或抗生素消炎治疗的临床价值。方法对经直肠超声(TRUS)诊断的6例前列腺苗勒氏管囊肿和4例精囊囊肿行囊肿抽液治疗后,分别采用无水乙醇硬化治疗或抗生素灌注治疗,并对囊内液体进行病理学检查。结果TRUS诊断苗勒氏管囊肿6例,抽出的囊肿液体3例为清亮透明,2例呈咖啡色,1例为淡黄色液体;4例精囊囊肿抽出的液体中,3例呈咖啡色,其余1例为脓性。囊内液体经病理检查均未发现肿瘤细胞。术后随访的6个月至2年内,6例患者超声复查发现囊肿消失,临床症状好转;其余4例囊肿复发后接受重复治疗。结论超声引导下的囊肿抽液结合无水乙醇硬化治疗或抗生素灌注治疗是治疗苗勒氏管囊肿和精囊囊肿的有效的微创方法。Objective To evaluate the clinical value of transrectal ultrasound-guided （TRUS-guided） aspiration combined with ethanol sclerotherapy and antibiotics irrigation in the treatment of Müllerian duct cyst and seminal vesicle cyst. Methods After TRUS-guided fluid aspiration, ethanol and antibiotics were injected respectively into müllerian duct cysts and seminal vesicle cysts, and ethanol needed to be aspirated out after 3-5 min retention. Results Among 6 Müllerian duct cysts, cyst fluid presented as lucent in 3 cases, kermesinus in 2 cases, and the other one was amber; while in 4 cases of seminal vesicle cysts, 3 were kermesinus, and 1 case was purulence. During the period of the follow-up （6-24 months）, 6 cysts have been proved by TRUS, and symptoms were relieved; the other 4 cases were recurrenced and the patients accepted repeat therapy. Conclusion TRUS-guided aspiration and ethanol sclerotherapy is proved to be effective as a minimally invasive method for Müllerian duct cyst and seminal vesicle cyst.

关 键 词：经直肠超声 苗勒管囊肿 精囊囊肿 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.2[医药卫生—诊断学]