超声引导下注射消痔灵治疗卵巢囊肿的临床价值.pdfVIP

· 254· 全科医学2008年3月第6卷第3期 Applied Journal of General Practice．March 2008．Vo1．6．No．3 【全科临床研究】 超声引导下注射消痔灵治疗卵巢囊肿的临床价值 朱先存，左鲁生，黄远洋，南苏虹 【摘 要】 目的 研究超声引导下注射消痔灵治疗卵巢囊肿的临床价值。方法 超声引导下将18G PTC穿刺针穿刺 卵巢囊肿，抽尽囊液，用甲硝唑或生理盐水反复冲洗至清亮后注入1／2囊液量消痔灵硬化5 min后抽出，再注入1／8囊液 量消痔灵保留。3个月复查囊肿的大小。结果 28例患者共34个囊肿均有效(100％)，治愈28个囊肿(82．4％)；无1 例出现严重不良反应和副作用；随访半年无1例复发。结论 超声引导下注射消痔灵是治疗卵巢囊肿安全有效的方法。 【关键词】 超声引导；介入治疗；卵巢囊肿；消痔灵 【中圈分类号】 R737．31 【文献标识码】 A 【文章编号】 1672．1764(2008)03-0254-02 Injection of Xiaozhiling under Ultrasonography Guidance for Ovarian Cyst ZHU Xian—cun，ZUO Lu—sheng，HUANG Yuan- yⅡ， ，et a1．Department ofSpecial Diseases Diagnosis，the 123th Hospital ofPLA，Anhui 233015，China 【Abstract】Objective To study the clinical value of injection of Xiaozhiling under uhrasonography guidance for ovarian cyst． Methods Under the ultrasonographY guidance，the ovarian cyst was punctured by 18G PTC and cyst fluid was taken out com— pletely．After cyst was irrigate clean with normal saline or Metronidazole，1／2 cyst—liquid Xiaozhiling was injected into cyst and took out 5 min later,then 1／8 cyst—liquid Xiaozhiling was injected again．Three months later，the cysts were measured again．Re- suits All of 34 cases(28 patients)were effective，the effective rate was 100％，28 cases were cured,the cure rate was 82．4％． No patients had serious adverse reaction and side—effect，No patients relapsed in half year．Conclusions Injection of Xiaozhil— ing under ultrasonography guidance is safe and effective for treating ovarian cyst． 【Key words】 Ultrasonography guidance；Interventional treatment；Ovarian cyst；Xiaozhiling 卵巢囊肿是常见病、多发病，过去多采用手术治疗，随着介 作者单位：233015安徽省蚌埠市，解放军第123医院特诊科 表2 2组患者腺体分泌情况比较( ±s) 对胆碱能受体无选择性，用药后患者均出现心率增快 。