超声引导下穿刺治疗盆腔巨大囊肿的疗效分析  

Ultrasound-guided interventional therapy for massive pelvic cysts

作　　者：王艳秋[1] 汪龙霞[1] 徐虹[1] 刘勤[1] 何萍[1] 

机构地区：[1]解放军总医院超声诊断科,北京100853

出　　处：《解放军医学院学报》2018年第1期36-38,共3页Academic Journal of Chinese PLA Medical School

摘　　要：目的探讨超声引导下穿刺治疗盆腔巨大囊肿的安全性及疗效。方法回顾性分析2006-2017年于我科就诊且有效随访、临床确诊为盆腔大囊肿病例57例。其中巧克力囊肿4例,盆腔包裹性积液29例,卵巢冠囊肿5例,卵巢单纯性囊肿19例。术前利用超声估算囊肿体积并与术中抽出液容积比较。在超声引导下穿刺行无水乙醇硬化或抗生素液冲洗并留置治疗。结果 57例中,随访1年内总有效率为84%(总有效指一次性治愈和治疗复发再治疗后消失);其中巧克力囊肿、卵巢滤泡囊肿和冠囊肿的总有效率为100%;包裹性积液总有效率为69%。结论超声引导下对盆腔巨大囊肿行穿刺治疗简单易行、安全、疗效确切,是盆腔囊肿的最佳治疗方法之一。Objective To investigate the effect of ultrasound-guided interventional therapy on massive pelvic cysts. Methods From 2006 to 2017, 57 cases with massive pelvic cysts were treated in our department. Of the 57 cases, 4 cases were with chocolate cyst, 29 cases with pelvic encapsulated effusion, 5 cases with parovarian cyst, and 19 cases with ovarian cyst. The volume of the cyst was estimated by preoperative ultrasound examination and compared with the intraoperative extracted liquid volume. Percutaneous ethanol sclerotherapy or antibiotic fluid irrigation with indwelling treatment was performed under the guidance of ultrasound. Results The effective rate at 1 year was 84% for all cases, and it was 100% for chocolate cyst, ovarian cyst and parovarian cyst, and 69% for pelvic encapsulated effusion. Conclusion Ultrasound-guided interventional therapy is simple, safe, effective and repeatable for massive pelvic cysts with less pain and complications.

关 键 词：超声引导 盆腔囊肿 无水乙醇 

分 类 号：R711.7[医药卫生—妇产科学]