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目的探讨应用平阳霉素注射治疗单纯性卵巢囊肿的临床价值。方法 312例单纯性卵巢囊肿患者,单侧296例,双侧16例,年龄14～51岁,平均年龄37.4岁。囊肿直径最大9.8cm,最小5.3cm,平均直径7.4cm。用经5～10mL 0.9%氯化钠溶液稀释的8～16 mg平阳霉素,在彩色超声引导下经皮穿刺注入单纯性卵巢囊肿内,注药后6个月进行治疗效果评定。结果经6个月～2年随访,312例单纯性卵巢囊肿患者328个囊肿,1次注药后痊愈占75%(246/328),2次注药后痊愈占20%(66/328),3次注药后痊愈占5%(16/328),有效率达100%。结论彩色超声引导下平阳霉素注射治疗单纯性卵巢囊肿,具有创伤小、安全无痛苦、手术操作简便易掌握的优点,且并发症少,疗程短,疗效满意,可在门诊治疗,为妇科治疗单纯性卵巢囊肿的微创治疗方法之一。
Objective To investigate the clinical value of pingyangmycin injection in the treatment of simple ovarian cysts. Methods 312 cases of simple ovarian cyst patients, unilateral 296 cases, bilateral in 16 cases, aged 14 to 51 years, mean age 37.4 years. Cyst diameter 9.8cm, the smallest 5.3cm, the average diameter of 7.4cm. 8 ~ 16 mg pingyangmycin diluted with 5 ~ 10 mL 0.9% sodium chloride solution was injected into the simple ovarian cyst by percutaneous puncture under the guidance of color ultrasound. The curative effect was evaluated 6 months after the injection. Results After 6 months to 2 years of follow-up, 328 cysts of 312 patients with simple ovarian cysts recovered 75% (246/328) after one injection and 20% (66/328) after two injections. , 3 times after injection accounted for 5% (16/328), the effective rate of 100%. Conclusions Color ultrasound-guided pingyangmycin injection for the treatment of simple ovarian cysts has the advantages of less trauma, safety and painlessness, simple and easy operation and operation, less complications, short course of treatment and satisfactory curative effect. It can be used in outpatient treatment for gynecological treatment Simple ovarian cyst minimally invasive treatment methods.