超声引导下介入硬化治疗输卵管积水的长期临床疗效评估  

Long-term clinical outcomes of ultrasound-guided interventional sclerotherapy for hydrosalpinx

作　　者：李晓青[1] 徐虹[1] 刘勤[1] 栗嘉楠 李秋洋[1] 汪龙霞[1] LI Xiaoqing;XU Hong;LIU Qin;LI Jia'nan;LI Qiuyang;WANG Longxia(Department of Ultrasound Diagnosis,the First Medical Center,Chinse PLA General Hospital,Beijing 100853,China;Chinese PLA Medical School,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心超声诊断科,北京100853 [2]解放军医学院,北京100853

出　　处：《解放军医学院学报》2024年第12期1224-1227,共4页Academic Journal of Chinese PLA Medical School

基　　金：首都特色项目(Z171100001017141)。

摘　　要：背景输卵管积水是一种常见的影响女性盆腔健康的炎性疾病,有多种治疗方法,但各种方法的长期疗效报道均较少。目的总结超声引导下穿刺抽液无水乙醇硬化治疗输卵管积水的长期疗效和临床应用价值。方法选取1999年1月—2023年12月于解放军总医院第一医学中心治疗的输卵管积水患者,所有患者采用超声引导下穿刺抽液无水乙醇硬化治疗,术后随访3~60个月。结果共纳入151例患者,患者年龄21~71(42.56±7.89)岁,积水输卵管176条(双侧积水25例,单侧积水126例),输卵管积液穿刺成功率为100%。术后3个月全部随访,治愈输卵管175条,无效1例,总有效率为99.4%。术后60个月随访75例(积水输卵管87条),复发2例,有效率为96.6%。中位随访时间为9年,最长随访至术后24年未复发。结论超声引导下穿刺抽液无水乙醇硬化治疗输卵管积水安全、有效、微创,治疗成功率较高,长期疗效确切。Background Hydrosalpinx is a common inflammatory disease that affects female pelvic health.There are various treatment methods for it,but few reports on its long-term outcomes are found.Objective To investigate the long-term efficacy and the clinical application value of ultrasound-guided interventional sclerotherapy on hydrosalpinx.Methods From January 1999 to December 2023,patients with hydrosalpinx treated in our department with ultrasound guided interventional sclerotherapy were included,and the follow-up time was 3-60 months.Results Totally 151 patients were enrolled in this study with age ranged from 21 to 71 years(average 42.56±7.89 years).There were 25 cases of bilateral hydrosalpinx and 126 cases of unilateral hydrosalpinx.The aspiration treatment was successfully completed in all patients,with successful rate of 100%.All the patients were followed up for 3 months,and the effective rate was 99.4%(175/176).A total of 75 cases(87 hydro fallopian tubes)were followed up for 60 months after surgery.There was 1 case of ineffective treatment and 2 cases of recurrence,the effective rate was 96.6%.The median followup time was 9 years,some patients had been followed up for 20 years without any recurrence.Conclusion Ultrasound-guided aspiration and sclerotherapy for hydrosalpinx is a simple,effective and minimally invasive method,with high treatment success rate.

关 键 词：输卵管积水 超声介入硬化治疗 长期临床疗效 

分 类 号：R713.5[医药卫生—妇产科学]