超声引导介入治疗妇科囊性病变的十年经验

Ten Years Experience on Ultrasound-guided Interventional Therapy for Female Pelvic Cysts

目的:探讨彩色多普勒超声引导介入治疗妇科盆腔囊性病变的价值和方法。材料和方法:1997～2007年对1061例妇科囊性病变在彩色多普勒超声引导下根据病变位置及患者婚否选用经腹或经阴道穿刺抽液及无水酒精固化治疗(对213例最大径线>8.0cm的大囊肿采用无水酒精多次固化,每次凝固3min法,一次注入酒精量不超过60ml;多房囊肿每个房都要单独完成囊液抽吸及无水酒精固化),并行细胞学检查。术后随访3～24个月。结果:99.8%(1059/1061)的病例成功地完成了囊内液体的抽吸,治疗过程中无严重并发症发生。92.0%(976/1061)的病例通过一次超声引导介入治疗囊腔完全闭合。>8.0cm的囊肿一次治愈率为94.8%(202/213),3～24个月的累积复发率5.2%(11/213);卵巢子宫内膜异位囊肿3～24个月累积复发率8.3%,与腹腔镜等其他治疗学方法相似。结论:彩色多普勒超声引导穿刺抽液及无水酒精固化治疗妇科盆腔囊性病变疗效满意。

Purpose： Ultrasound-guided interventional therapy had been proved an effective means for female pelvic cysts. A 10 years experience of performing the treatment was summarized in this article. Materials and Methods： Ultrasound- guided aspiration and alcohol sclerosis therapy were undertaken in 1061 female patients with pelvic cysts . Follow-up was performed for a period of 3 to 24 months after therapy. Results： 99.8% （ 1059/1061 ） of patients were successfully treated by the ultrasound-guided aspiration without any significant complication. Some 8.3% cases, especially those of endometriotic cysts, needed repeat treatment with US-guidance. The overall therapeutic efficacy of ultrasound gu,;.ded aspiration and alcohol sclerosis treatment was similar to that of laparoscopy or laparotomy. Conclusion： The therapeutic effect of Ultrasound-guided aspiration and alcohol sclerosis was satisfactory.