摘要
目的探讨经腹部超声引导穿刺置入单腔中心静脉导管,注射无水酒精治疗单纯性卵巢囊肿的效果。方法对26例单纯性卵巢囊肿患者,经腹部超声引导下置入单腔中心静脉导管,抽出囊液,用生理盐水冲洗囊腔,2%利多卡因5 ml经生理盐水稀释至10 ml注入囊腔内停留10 min后抽出;并经单腔中心静脉导管注入1/5～1/4囊液量的无水乙醇,反复3～5次。观察其疗效。结果 24例囊肿完全消失、痊愈;囊肿明显缩小1例;无效1例。治愈率为92.3%,总有效率为96.2%。无1例发生腹腔内出血、囊肿破裂及化学性腹膜炎。术后随访6～12个月,无囊肿复发病例。结论超声引导穿刺置管注射无水酒精治疗单纯性卵巢囊肿是一种安全、有效和微创的治疗方法 ,值得临床推广。
OBJECTIVE To investigate the effect of transabdominal ultrasound guided puncture in the single lumen central venous catheter injection of anhydrous alcohol for the treatment of simple ovarian cysts. METHODS For 26 cases of simple ovarian cysts, abdominal ultrasound guided placement of single lumen central venous catheter, aspirated fluid, saline flushing cavity, 2% lidocaine with 5ml saline diluted to 10 ml into the cystic cavity and pumped after staying 10 minutes, the single lumen central venous catheter into the 1/5-1/4 cyst fluid volume of ethanol, repeated 3-5 times. Observe the effect. RESULTS 24 cases of cyst disappeared completely and were healed, cysts was significantly reduced in 1 cases, 1 cases was invalid. The cure rate was 92.3%, the total efficiency rate was 96.2%. There is none case of abdominal cavity internal hemorrhage, rupture of the cyst and chemical peritonitis. Postoperative follow-up in 6-12 months, and there is none case of cyst recurrence. CONCLUSION Ultrasound guided puncture injection of anhydrous alcohol in the treatment of simple ovarian cysts is a safe, effective and minimal invasive method which is worthy to be widely applied in clinical practice.
出处
《中国初级卫生保健》
2013年第7期74-75,共2页
Chinese Primary Health Care
关键词
超声引导穿刺
无水酒精
单纯性卵巢囊肿
ultrasound guided puncture injection
anhydrous alcohol
simple ovarian cysts
