摘要
目的总结CT引导下经臀部穿刺硬化治疗卵巢囊肿的疗效和操作经验。方法CT引导穿刺硬化治疗单纯性囊肿42例,子宫内膜异位囊肿16例,囊肿直径3.6～9.0cm。单纯性囊肿和子宫内膜异位囊肿分别用22G和21G Chiba针穿刺,囊液抽净后向囊腔内注入少量造影剂,经CT扫描确定造影剂在囊内且无外漏后将其抽出,然后注入相当于1/4～1/2囊液量的无水乙醇,并改变患者体位使乙醇与囊内各部充分接触。20分钟后将乙醇抽净,注入用5～10ml生理盐水溶解的平阳霉素8mg保留于囊内。结果58例均一次穿刺成功。抽出囊液15～260ml。6个月至24个月后复查有57例囊肿完全消失,1例由原来的9.0cm缩小至2.0cm,有效率100%,囊肿消失率98.3%。未发生严重并发症,术后无一例发生感染。结论CT引导经臀部穿刺硬化治疗卵巢囊肿,操作简便,创伤轻微,疗效满意,是一种安全、有效的治疗方法。
Objective To summarize our operational experience and curative effect with CT guided transgluteal puncture sclerotic therapy of ovarial cysts. Methods 58 ovarian cysts in 48 patients were undergone CT guided sclerotic therapy of ovarian cysts by transgluteal puncture. Among the 58 cases, 42 cases had simplex cysts, 16 cases had cysts of adenomyosis. The ovarial cysts varied in size from 3.6 to 9.0 cm in diameter. 22 gauge and 20 gauge Chiba needle was used to puncture for simplex cysts and for cysts of adenomyosis. After aspirating the fluid of the cyst, little contrast medium was injected into the cyst in where no contrast medium extravasated under CT scanning monitor. Then the cyst was rinsed by absolute alcohol that equivalent to 1/4-1/2 cyst volume, and change the position of patient to kept the absolute alcohol contact with all the cystic wall, absolute alcohol was aspirated out after 20 min. Then 8 mg pingyangmycin which was dissolve with 5-10ml normal saline was injected into and kept in the cyst. Resultes 58 cases were punctured successfully with single procedure. The amount of aspirated fluid varied from 15 to 260 ml. There were 57 cases which cysts were disappear after 6 mouth to 24month, aud only one patient＇s cyst shrank from 9.0 to 2.0 cm. The effective rate was 100%, the disappearance rate was 98.3%. There were no severe complications and infection in this series. Conclusions Transgluteal puncture sclerotic therapy of ovarial cysts under CT guidance is an effective and safe method for the treatment of ovarian cysts.
出处
《当代医学》
2009年第23期426-427,共2页
Contemporary Medicine
