盆腔“大囊肿”穿刺硬化治疗中的“囊壁受激收缩”现象与硬化细节的探讨

The discussion of the phenomenon of stimulated contraction and the details of sclerosis in the puntured sclerosis treatment of pelvic "big tumor"

目的求证大囊肿"囊壁受激收缩"现象的存在以及对囊肿硬化治疗效果的影响。方法将囊肿前后、左右和上下3个径线中最小径线≥6 cm囊肿定义为大囊肿,将符合大囊肿标准的盆腔囊肿随机分为生理盐水冲洗组(A组)和酒精冲洗组(B组),以相同的穿刺方式对比观察,并作治疗后3个月疗效随访。结果B组冲洗后有残余囊液抽出,而A组无残余囊液抽出,反而有部分注入的生理盐水潴留,两组间差异有统计学意义(P<0.05);治疗3个月后疗效随访观察,B组有效率100%,A组有效率83.3%(5/30),两组间差异有统计学意义(P<0.05)。结论少量的酒精多次注入囊内,可刺激囊壁收缩,减少囊内皱褶,挤出残留囊液。我们将其称为"囊壁受激收缩"现象,充分利用这种现象,可以尽可能的抽尽囊内残留液体,保证囊壁被充分硬化,同时可以大量减少囊壁硬化无水酒精用量,在保证疗效的基础上,大大减轻患者痛苦。

Objective To prove the exsitance of the phenomenon of stimulated wall contraction and the impact to the treatment of cyst sclerosis. Methods Indentify the cyst whose smallest line drive among the line drives of before and after,about and up and down derections ≥6cm as ＂big cyst＂. Then divide the ＂big cysts＂ into two groups by random as ＂groups of saline washing＂（ group A） and ＂groups of alcohol washing＂（ group B）. Comparing and observing each group by same method of puncture. Then tracting the follow-up effect 3 monthes after the treatment. Results Cysts of group B left liquid of cyst after washing, otherwise cysts of group A didn＇t leave liquid of cyst but some residual alcohol. The differences between two groups have statistical significance（P〈0.05）. In the follow-up effect traction we caculated the efficient riot of group A was 83.3% （3/50） and the efficient riot of group B is 100%. The differences between two groups also have statistical significance （ P〈0.05 ）. Conclusion Small amount of alcohol being injected into cyst can enforce wall contraction and lower folds in cyst,meanwhile it helps get out of liquid in cyst. We call it the phenomenon of ＂stimulated wall contraction＂. We can utmostly get out of the residual liquid in cyst and ensure the full sclerosis of wall as long as we make the most of the phenomenon. And we can also lower the pain patients suffer mostly on the base of treatment effect with less usage of anhydrous alcohol for the treatment of wall sclerosis.