超声介导无水乙醇硬化治疗盆腔囊肿临床效果探讨

目的探讨阴道超声介导无水乙醇囊内注射硬化治疗卵巢子宫内膜异位囊肿（以下简称巧囊）及卵巢脓肿的治疗效果和可行性。方法对83例单发卵巢巧囊和6例卵巢脓肿患者行阴道超声下囊肿穿刺,吸净囊液后无水乙醇固定5分钟,观察术中、术后3~24个月的巧囊变化情况。结果术后86.7%（72/83）巧囊消失,13.3%（11/83）在原位复发。卵巢脓肿100%（6/6）消失。并发症为术中轻度腹痛和穿刺点少量出血。结论阴道超声介导无水乙醇囊内注射硬化治疗对巧囊的治疗效果与腹腔镜手术相似,对卵巢脓肿治疗效果好。且避免了手术带来的创伤和卵巢皮质丢失。

Clinical research of transvaginal B-ultrasound guided ethanol sclerotherpay for ovaian cysts

Objective： To investigate the clinical effects and possibility of ethanol sclerotherpay for ovarian cysts.Methods： Eighty-three patients suffered with single endometriotic cysts and 6 patients with ovarian abscess were included in the study.The fluid content of ovarian cyst was aspirated under the transvaginal B-ultrasound with a 17-G puncture needle,and the collapsed cyst was irrigated with pure ethanol for 5 minutes.After the treatment,cysts were observed in 3,6,12 and 24 months,and the their sizes were recorded accordingly.Results： About 86.7%（72/83） cysts were absorbed completely,13.3 %（11/83） of them reappeared more than 2cm in diameter.100%（6/6） ovarian abscesses were absorbed completely.No serious complications were observed except mild pain and puncture site bleeding during performance.Conclusion： This procedure is as effective as that of laparoscopy operation,and the loss of ovarian cortex is avoided.