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目的:比较超声引导介入治疗盆腔脓肿、输卵管积脓、输卵管积液、包裹性积液及宫颈囊肿的临床效果,了解超声引导介入治疗常见的妇科囊性炎症包块的临床价值。方法:选取我院妇科门诊2007年1月~2011年3月收治的常见妇科囊性炎症包块共108例,其中盆腔脓肿11例、输卵管积脓19例、输卵管积液43例、盆腔包裹性积液31例、宫颈囊肿4例,给予超声实时引导抽囊液、甲硝唑冲洗治疗,治疗后3个月内复查超声评价和比较疗效。结果:盆腔脓肿、输卵管积脓、盆腔包裹性积液包块均明显缩小(12/43)或消失(29/43),治疗有效率100%;输卵管积液包块治疗有效率95%(41/43),宫颈囊肿均痊愈。各组间比较无统计学差异(P>0.05)。结论:超声引导介入治疗对输卵管积脓、盆腔脓肿、盆腔包裹性积液均有显著的疗效,且治疗效果无差异,值得推广应用,代替传统的非必要的手术治疗。
OBJECTIVE: To compare the clinical effects of ultrasound-guided interventional treatment of pelvic abscess, tubal empyema, tubal effusion, encapsulated effusion and cervical cyst, and to understand the clinical value of ultrasound-guided interventional treatment of common gynecological cystic inflammatory mass. Methods: A total of 108 cases of common gynecological cystic inflammatory mass were treated in gynecology clinic of our hospital from January 2007 to March 2011, including 11 cases of pelvic abscess, 19 cases of tubal empyema, 43 cases of tubal effusion, pelvic encapsulation 31 cases of effusion and 4 cases of cervical cyst were treated with ultrasonic real-time guided drainage and metronidazole irrigation. The ultrasound evaluation and comparative efficacy were reviewed within 3 months after treatment. Results: Pelvic abscess, tubal empyema, pelvic masses were significantly reduced (12/43) or disappeared (29/43), the treatment efficiency was 100%; tubal effusion mass treatment efficiency was 95% (41 / 43), cervical cysts were cured. There was no significant difference among the groups (P> 0.05). Conclusion: Ultrasound guided interventional therapy has significant curative effect on tubal empyema, pelvic abscess and pelvic fluid, and no difference in treatment effect. It is worth popularizing and applying instead of the traditional nonessential surgical treatment.