前列腺苗勒管囊肿经直肠穿刺抽吸与硬化治疗

Transrectal ultrasound-guided puncture and anhydrous alchol sclerotherapy for Mülllerian duct cyst

目的:比较经直肠超声引导穿刺苗勒管囊肿单纯抽吸与硬化治疗疗效。方法:勒管囊肿患者44例,采用经直肠超声检查及经直肠超声引导穿刺进行硬化治疗,21例进行无水乙醇硬化(治疗组),抽尽囊液后注入抽出囊液量1/2量的无水乙醇,保留5 min后抽尽残液;23例进行单纯的抽吸,抽尽囊液(对照组),经随访比较两组临床疗效。结果:两组患者治疗后均无明显不良反应发生,治疗组有效率80.95%,治愈率52.38%,对照组有效率56.52%,治愈率26.09%。两组比较疗效差异有统计学意义(P<0.01)。结论:采用经直肠超声引导穿刺无水乙醇硬化治疗苗勒管囊肿其过程安全,疗效确切,不易复发,为治疗前列腺苗勒管囊肿可取方法。

Objective： To explore the effect of anhydrous alchol sclerotherapy following transrectal ultrasound-guided puncture in the treatment of Mulllerian duct cyst. Methods： Totally 44 patients with Mulllerian duct cyst underwent transrectal uhrasound- guided puncture and sclerotherapy, 21 injected with anhydrous alcohol of half the volume of the aspirated cystic fluid followed by aspi- ration of all the fluid 5 minutes later （treatment group）, and the other 23 treated by cystic fluid aspiration only （control group）. The clinical effects Of the two methods were compared. Results ： The response rate and cure rate were 80.95 and 52.38% in the treatment group, as compared with 56.52 and 26.09% in the control （ P 〈 0. 001 ）. No adverse events were observed in either of the two groups. Conclusion： Transrectal ultrasound-guided puncture and anhydrous alchol sclerotherapy is a safe and effective approach to the treat-ment of Mulllerian duct cyst.