改良后的超声介入治疗盆腔囊肿的疗效分析

发布时间：2018-02-11 02:12

  本文关键词： 改良超声介入 无水乙醇 盆腔囊肿　出处：《兰州大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的探讨经改良后的超声引导下无水乙醇硬化治疗盆腔囊肿的应用价值。 方法将299例盆腔囊肿患者随机分成3组：A组(72例)在超声引导下使用PTC针抽净囊液后,注入1/2抽出囊液量的无水乙醇(最多不超过100m1),最后囊腔永久保留5ml-10ml无水乙醇；B组(103例)在A组的基础上,使用无水乙醇反复多次对囊腔进行硬化治疗,最后抽净注入液；C组(124例)在超声引导下穿刺置入Skater6F-12F引流管抽净囊液后,注入1/2抽出囊液量的无水乙醇(最大量控制在150m1),然后利用“加压快速注射法”、“多体位注射法”对囊腔进行硬化治疗,24h后拔出留置引流管。观察分析3组患者术后12个月的疗效及并发症发生情况。 结果1.A组术后并发症发生率29.8%(25/84),B组术后并发症发生率15.7%(19/121),C组术后并发症发生率6.4%(9/141),3组并发症发生率间差异有统计学意义(P0.01)；C组和A、B组并发症发生率间差异均有统计学意义(P0.05)。 2.治疗后12个月,3组患者疗效间差异有统计学意义(P0.01)。 3.3组囊肿直径12cm的患者,术后12个月疗效间差异有统计学意义(P0.05)；而囊肿直径≥12cm的患者,术后12个月疗效间差异无统计学意义(P0.05)。 结论在用量上采用“大剂量法”,在方法上采用“加压快速注射法”“多体位注射法”以及在时间上采用“留置引流24h”的改良后超声引导下无水乙醇硬化治疗盆腔囊肿更科学合理,安全有效,复发率及并发症减少,患者乐于接受,值得推广。
[Abstract]:Objective to evaluate the value of modified ultrasound-guided anhydrous ethanol sclerosis in the treatment of pelvic cysts. Methods 299 patients with pelvic cysts were randomly divided into 3 groups (n = 72). PTC needle was used to purify the cystic fluid under the guidance of ultrasound. Anhydrous ethanol (no more than 100m1g) was injected into 1/2 extracellular fluid (up to 100m1g, and 5ml-10ml anhydrous ethanol was retained permanently in group B). On the basis of group A, anhydrous ethanol was used repeatedly to harden the capsule cavity. Finally, 124 patients in group C were treated with Skater6F-12F drainage tube under ultrasound guidance. 1/2 anhydrous ethanol was injected into the capsule fluid (the maximum amount was controlled at 150m1g), and then the indwelling drainage tube was extracted after 24 hours of sclerosis therapy by "rapid injection under pressure" and "multi-position injection". The postoperative observation and analysis of the three groups of patients were carried out. The curative effect and complications occurred in 12 months. Results 1. The incidence of postoperative complications in group A was 29.825 / 84%, and the incidence of postoperative complications in group B was 15.7and 15.7R / 121C respectively. There were significant differences in the incidence of postoperative complications between group C and group A (P 0.01 / 141). There were significant differences between group A and group A (P 0.01) and group A (P 0.05). 2. The incidence of postoperative complications in group A was significantly higher than that in group B (P < 0.05). 2. There was significant difference in curative effect among the three groups 12 months after treatment (P 0.01). 3.3 in the group with 12 cm cyst diameter, there was a significant difference in the curative effect 12 months after operation (P 0.05), but there was no significant difference in the 12 months after operation in the patients with cyst diameter 鈮，

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