| 张晶,汪龙霞,王军燕,国风梅.超声引导乙醇短时间凝固治疗盆腔囊性肿物疗效分析[J].中国医学影像技术,2003,19(3):277~279 |
| 超声引导乙醇短时间凝固治疗盆腔囊性肿物疗效分析 |
| Evaluation of Clinical Results of Ultrasound-Guided Aspiration and Coagulation by Ethanol in Short Time for Therapy of Pelvic Cysts |
| 投稿时间：2002-09-03 |
| DOI： |
| 中文关键词: 超声引导 乙醇凝固 囊性肿物 |
| 英文关键词:Ultrasound-guided Ethanol coagulation Cystic lesions |
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| 中文摘要: |
| 目的 分析超声引导盆腔囊性肿物穿刺抽吸无水乙醇凝固后囊内留置与不留置硬化剂的临床疗效。方法 对115例121个盆腔良性囊性病灶在超声引导下穿刺,抽出内容物,注入抽出量1/2~1/3量的无水乙醇凝固3min后,其中24个病灶内留置3~10ml乙醇,97个病灶内乙醇全部抽出。随访患者。原位出现新病灶为复发。结果 治疗后即刻肿物完全消失率98%。随访1~24个月,复发5个病灶,囊内留置乙醇者复发2个,未留置乙醇者复发3个。治疗的主要并发症为疼痛,发生在乙醇囊内注入时或囊内留置乙醇拔针时。结论 超声引导穿刺大剂量乙醇短时间凝固治疗盆腔囊性肿物省时、操作简便、疗效可靠,有临床推广价值。 |
| 英文摘要: |
| Objective To evaluate the clinical results of retaining ethanol and without retaining ethanol in cystic cavity after ultrasound-guided aspiration and ethanol coagulation of pelvic cystic lesions. Methods Total 121 pelvic cystic lesions of 115 patients underwent ultrasound-guided aspiration and ethanol coagulation. After the content was aspirated by ultrasound-guided puncture, ethanol was injected into the cystic cavity in the amount of 1/2 to 1/3 of content. Three minutes later, the ethanol was aspirated completely in 97 lesions and was maintained 3-10ml for 24 lesions. Results The patients were followed up for 1-24 months, 5 lesions recurrence, 2 with ethanol maintenance and 3 without ethanol maintenance. The main complication was abdomen pain. The pain took place in some patients during the ethanol rejection or the puncture needle being drawn after the therapy finished. Conclusion Ultrasound-guided aspiration and ethanol in large dose and short time coagulation therapy for pelvic cystic lesions are proved effective, convenient and take less time. It is worthy of advocating in pelvic cystic lesions management. |
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