盆腔囊肿的彩色多普勒超声引导介入治疗

Color Doppler Ultrasound Guided Interventional Therapy of Pelvic Cysts

目的探讨盆腔囊肿的彩色多普勒超声引导下介入治疗的疗效。方法 2006年7月至2008年6月对32例确诊为盆腔囊肿的患者(共34个囊肿)行彩色多普勒超声引导下经腹或经阴道穿刺抽液,并注入无水乙醇硬化治疗。结果 34个囊肿中,1例因囊液过度黏稠,抽吸困难,放弃穿刺。随访3个月,27个囊肿一次治愈,治愈率为79.4%(27/34),另有4个囊肿最大径缩小1/2以上,一次治疗有效率为91.2%(31/34),穿刺治疗成功33例,最终总有效率为97.1%(33/34)。无严重并发症。结论该方法适应症广,简便、准确、安全、有效,值得临床推广使用。

Objective To explore the curative effects of color Doppler ultrasound guided interventional therapy in pelvic cyst. Methods From July 2006 to June 2008, the color Doppler ultrasound guided transabdominal or transvaginal puncture was performed in 34 pelvic cysts among 32 diagnosed cases, absolute alcohol was injected into the cysts for sclerotherapy. Results Among 34 cysts, the treatment only failed in one cyst of one case because of the over ropy hydatid fluid ,which was hard to be aspirated. All of the cases were followed up for three months. Twenty -seven cysts were cured after the first treatment,the cure rate was 79.4%（27/34）. The maximum diameter of other 4 cysts decreased more than 1/2. The effective rate was 91.2%（31/34） after the first puncture. Finally, 33 cases showed curative effect after the puncture therapy, the total effective rate was 97.1% （33/34）. No serious complications were observed. Conclusion This therapy is a simple, accurately, safe and effective treatment for many indications. It＇s worthy to be recommended in the therapy of pelvic cyst.