经腹超声监测经阴道穿刺治疗卵巢囊肿

Treatment of Ovarian Cyst by Vaginal Puncture Under Transabdominal Ultrasonic Monitoring

目的 探索在无经阴道探头情况下需经阴道介入诊治盆腔深部囊性肿物的新方法。方法 采用自制经阴道穿刺引导器,经腹部探头监视引导下穿刺卵巢单纯囊肿18例和巧克力囊肿13例。抽净囊液后用无水酒精囊壁硬化。结果 1次穿刺成功者30例,占96.7％。穿刺针显示率100％。半年到一年随访,囊腔消失者18例,占60％。10例残腔=2.5cm,占33.3％。1例残腔3cm×4cm,2例失访。结论 经阴道穿刺引导器简单易制,是经阴道穿刺介入治疗卵巢囊肿有效的辅助工具。

Objective To treat ovarian cyst by vaginal puncture in case of no vaginal ultrasonic probe. Methods Transvagi-nal puncture leading device(TPLD) was made by us. Under transabdominal ultrasonic monitoring, the cavity liquid of ovarian cysts in 31 patients was drawn,and then absolute alcohol was infused into the cyst cavity by TPLD.31 cases of ovarian cyst included 18 cases of simle cyst and 13 cases of endometrial cyst. Results The success rate of a single puncture was 96.7 % ( 30/31) . The visible rate of puncture needle was 100% .When the patients were reexamined six months to one year after operation,the cyst cavities of 18 cases disappeared , those of 10 cases were less than 2.5 cm, and that of one case was 3×4 cm. Two cases lost touch with us. Conclusion TPLD can be made easily,and was an effective assistant device in the interventional treatment of ovarian cyst in case of no vaginal ultrasonic probe.