超声介入治疗常见妇科囊性炎症包块的疗效评价  

Evaluation of the Therapeutic Effects of Ultrasound Intervention on the Common Gynecological Inflammatory Cystic Masses

作　　者：袁文琳[1] 李盈[1] 江岚[1] 张华[1] 黎月薇[1] 严宝妹[1] 

机构地区：[1]广州医科大学附属第三医院超声医学科,广东广州510150

出　　处：《现代生物医学进展》2014年第8期1507-1509,共3页Progress in Modern Biomedicine

基　　金：广州医科大学科研项目(2012A12)

摘　　要：目的：比较超声引导介入治疗盆腔脓肿、输卵管积脓、输卵管积液、包裹性积液及宫颈囊肿的，临床效果，了解超声引导介入治疗常见的妇科囊性炎症包块的临床价值。方法：选取我院妇科门诊2007年1月～2011年3月收治的常见妇科囊性炎症包块共108例，其中盆腔脓肿11例、输卵管积脓19例、输卵管积液43例、盆腔包裹性积液31例、宫颈囊肿4例，给予超声实时引导抽囊液、甲硝唑冲洗治疗，治疗后3个月内复查超声评价和比较疗效。结果：盆腔脓肿、输卵管积脓、盆腔包裹性积液包块均明显缩小（12／43）或消失（29／43），治疗有效率100％；输卵管积液包块治疗有效率95％（41／43），宫颈囊肿均痊愈。各组间比较无统计学差异（P〉O．05）。结论：超声引导介入治疗对输卵管积脓、盆腔脓肿、盆腔包裹性积液均有显著的疗效，且治疗效果无差异，值得推广应用，代替传统的非必要的手术治疗。Objective： To compare the therapeutic effects of ultrasound intervention on the pelvic abscess, pyosalpinx, hydrosalpinx, pelvic encapsulated effusion and naboth cyst and investigate the clinical value of ultrasound intervention in the treatment of common gynecological inflammatory cystic masses. Methods： Totally 108 cases were included in the study. 11 cases of pelvic abscess, 19 cases of pyosalpinx, 43 cases of hydrosalpinx, 31 cases of pelvic encapsulated effusion and 4 cases of naboth cyst were put in the study. All cases were reexamined ultrasound within 3 months after the interventional therapy. Remits： All masses of pelvic abscess, pyosalpinx and pelvic encapsulated effusion were reduced obviously or disappeared, the clinical effective rate was 100%. 41 cases of hydrosalpinx were reduced obviously or disappeared, the clinical effective rate was 95%, and 4 naboth cysts healed. No statistical difference was found in the clinical effective rate among different groups （P〉0.05）. Conclusion： The intervention therapy guided by ultrasound had notable curative effect on gynecological inflammatory cystic masses, and worth popularizing and applying in clinic to replace the traditional operation therapy.

关 键 词：超声 介入超声 妇科炎症 

分 类 号：R711.3[医药卫生—妇产科学]