妇科恶性肿瘤术后盆腔淋巴囊肿行超声引导下无水乙醇治疗的效果观察  

Efficacy of ultrasound-guided absolute alcohol therapy for lymphatic cysts in the pelvic cavity after surgery for gynecological malignancy

作　　者：贺殿彪 于威 迂润泽 刘爽 HE Dian-biao;YU Wei;YU Run-ze;LIU Shuang(Department of Gynecology,General Hospital of Ansteel Group,Anshan 114003,China)

机构地区：[1]辽宁省鞍钢集团公司总医院妇科,鞍山114003

出　　处：《中国肿瘤临床与康复》2022年第2期190-193,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨超声引导下无水乙醇治疗对妇科恶性肿瘤术后盆腔淋巴囊肿患者生活质量的影响。方法选取2016年1月至2020年12月间辽宁省鞍钢集团公司总医院收治的90例妇科恶性肿瘤术后盆腔淋巴囊肿患者纳为研究对象,遵循随机抽签的方式将其分为对照组和观察组,每组45例。对照组在此次研究中接受常规方法治疗,观察组在此次研究中接受超声引导下无水乙醇治疗,针对两组治疗效果展开对比分析。结果对比组间治疗不同阶段囊肿直径变化情况,观察组治疗后4周、治疗后8周以及治疗后12周均低于对照组,差异均有统计学意义(均P<0.05)。对比组间治疗后生活质量变化情况,观察组精神状态、生理功能、心理功能及社会功能评分均高于对照组,差异均有统计学意义(均P<0.05)。对比组间并发症发生率,观察组4.4%,较对照组22.2%低,差异有统计学意义(P<0.05)。结论相较于常规临床诊治手段,妇科恶性肿瘤术后盆腔淋巴囊肿患者运用超声引导下无水乙醇治疗产生的效果更加突出,可有效缩小囊肿,提升患者生活质量,同时其不良反应发生率相对更低,因此安全性更高,更加适合临床的深入推广和应用。Objective To analyze the impact of ultrasound-guided absolute ethanol treatment on quality of life in patients with lymphatic cysts in the pelvic cavity after surgery for gynecological malignant tumors. Methods Ninety patients with lymphatic cysts in the pelvic cavity after surgery for gynecological malignancies were included at General Hospital of Ansteel Group from January 2016 to December 2020. They were divided into an observation group and a control group with 45 patients in each group. The observation group received ultrasound-guided absolute ethanol treatment and the control group received conventional treatment. A comparative analysis was carried out to observe the treatment effects in the two groups. Results Changes in diameter of cysts at different stages of treatment were compared between the two groups. Diameter of cysts was lower in the observation group at 4 weeks, 8 weeks and 12 weeks after treatment than in the control group(all P<0.05). After comparing the changes in quality of life between the groups after treatment, it was found that scores of mental state, physiological function, psychological function and social function were higher in the of the observation group than in the control group(all P<0.05). The incidence of complication was 4.4% in the observation group which was significantly lower than 22.2% of the control group(P<0.05). Conclusion Compared with conventional clinical diagnosis and treatment, ultrasound-guided absolute ethanol treatment have more prominent effects in patients with pelvic lymphatic cysts after surgery for gynecological malignant tumors. It can effectively reduce cysts and improve quality of life. At the same time, the incidence of adverse reactions is relatively low, and the safety is high, which is more suitable for in-depth clinical promotion and application.

关 键 词：超声 无水乙醇 妇科恶性肿瘤 盆腔淋巴囊肿 临床效果 

分 类 号：R737.3[医药卫生—肿瘤]