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机构地区:[1]牡丹江医学院附属二院妇产科,黑龙江省牡丹江市157010
出 处:《中国全科医学》2011年第11期1264-1265,共2页Chinese General Practice
摘 要:目的探讨套管针治疗前庭大腺囊肿的临床效果。方法选择年龄22~45岁,囊肿直径2~4 cm的患者18例,其中囊肿16例,脓肿2例。均为单侧。常规消毒后于前庭大腺开口处或近前庭大腺开口处,用套管针穿刺、抽液并冲净嚢腔,保留套管针。穿刺术后,会阴冲洗、阴道上药、经套管针冲洗嚢腔并转动套管针,均1次/d,此外,脓肿者静脉滴注抗生素1周,7 d后撤套管针、停阴道上药及静脉滴注抗生素,每日用温开水清洗外阴,禁止性生活,强调预防感染。结果 16例囊肿患者3 d治愈,2例脓肿患者7 d治愈。1个月复查,随访2年,均无复发。结论套管针治疗前庭大腺囊肿或脓肿,方法简单,损伤小,且能保持前庭大腺原有形态和功能。Objective To investigate the clinical effectiveness of trochar in treating greater vestibular gland cyst.Methods A total of 18 patients,aged 22 to 45 years,with unilateral greater vestibular gland cyst(2~4 cm in diameters;including two abscesses) were enrolled.Puncture,drainage,and rinsing were performed with the trochars at/near the opening of greater vestibular gland after routine sterilization.After the puncture was completed,the perineum area was washed,drugs were applied to the vagina,the cyst cavity was washed through the trochar,and the trochar was turned on a daily basis..In addition,patients with abscess were intravenously administered with antibiotics for one week.After seven days of treatment,trochars were removed,and vagina dressing and intravenous antibiotics were also stopped.Patients were told to wash the vulva with warm water everyday and avoid sexual intercourse to avoid infection.Results Sixteen patients with cyst were cured in three days,and 2 patients with abscess in seven days.No relapse was noted at one-month and two-year follow-up.Conclusion Trochar provides a simple and less invasive way for the treatment of greater vestibular gland cyst with/without abscess.The morphology and function of greater vestibular gland cyst usually remain intact after treatment.
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