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1997～1999年12月,我们对32例盆腔囊性肿物在B超引导下穿刺抽液,明确诊断后注入抗炎药物或硬化剂治疗,经 随访3～12个月,结果满意,报告如下。 资料与方法 32例均为门诊病人,(14例来自温州医院附属二院,18例来自温州中山医院)年龄26～40岁,平均年龄28±5.6岁;临床表现为慢性腹痛10例,痛经12例,无症状4例,原发不孕6例,继发不孕7例。使用仪器为西门子SL 400型和GERT fino型,Aloka—620型,经腹型探头频率3.5MHz,经阴道探头频率5～7MHz。带针芯长穿刺针16G或18G,穿刺架高压消毒。穿刺时间选择在经后3～7天。排空膀胱尿液后,经腹壁穿刺取仰卧位,经阴道穿刺取截石位。常规消毒铺巾,在消毒探头上安上穿刺导向架,或在探头外套消毒橡胶套再按上穿刺架。若经阴道穿刺,将探头置于阴道后穹窿部进一步明确肿物位置,选择最佳穿刺点,确定穿刺深度和角度。在实时
From December 1997 to December 1999, 32 cases of pelvic cystic masses were punctured with B-ultrasound, and definite anti-inflammatory drugs or sclerosing agents were injected after the diagnosis. The patients were followed up for 3 to 12 months and the results were satisfactory. The report is as follows . Materials and Methods 32 cases were outpatients (14 cases from Wenzhou Hospital Affiliated Hospital, 18 cases from Wenzhou Zhongshan Hospital) aged 26 to 40 years, mean age 28 ± 5.6 years; clinical manifestations of chronic abdominal pain in 10 cases, dysmenorrhea 12 Cases, asymptomatic in 4 cases, 6 cases of primary infertility, secondary infertility in 7 cases. Instrument used for the Siemens SL 400 and GERT fino type, Aloka-620 type, transabdominal probe frequency 3.5MHz, transvaginal probe frequency 5 ~ 7MHz. With needle long puncture needle 16G or 18G, puncture rack autoclave. Puncture time selected after 3 to 7 days. After emptying the bladder and urine, the supine position was punctured by abdominal wall and the stone was taken by vaginal puncture. Conventional disinfection shop towels, puncture guide rack on the sterilizing probe, or sterilize the rubber sleeve in the probe coat and then press the puncture rack. If transvaginal puncture, the probe placed in the vaginal fornix further clarify the location of the tumor, select the best puncture point to determine the puncture depth and angle. In real time