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我院自1990年4月至1999年10月,在B超引导下,经皮穿刺注射无水乙醇治疗卵巢囊肿50例,患者均为门诊病人,年龄20～58岁。最大的囊肿直径约298mm,最小的囊肿直径约40mm。患者均为一般情况好的无酒精过敏者。仪器COMBISON 311型B超仪,有扇扫穿刺探头,频率3.5MHz。超声定位后穿刺抽尽囊液,生理盐水冲洗后注入无水乙醇,视囊肿大小注入10～30mm且反复抽注无水乙醇。抽出液量为50～800ml,21例一次穿刺后囊肿消失,19例1月后直径缩小1/2又行二次穿刺后囊肿消失,治愈40例占80％。8例两次穿刺后囊肿缩小1/2以上为有效占16％。2例穿刺缩小小于1/2为无效占4％。 卵巢囊肿传统都用手术治疗。我们开展超声引导下穿刺注射无水洒精,是将无水乙醇作硬化剂,通过无水乙醇改变细
Our hospital from April 1990 to October 1999, under the guidance of B-ultrasound, percutaneous puncture and injection of absolute ethanol in 50 cases of ovarian cysts, patients are outpatients, aged 20 to 58 years. The largest cyst diameter of about 298mm, the smallest cyst diameter of about 40mm. Patients are generally good alcohol-free allergy. Instrument COMBISON 311 B super-instrument, a fan sweep probe, the frequency of 3.5MHz. Puncture puncture after cystoscopy ultrasound liquid, saline irrigation after injection of ethanol, depending on the size of the cyst injected 10 ~ 30mm and repeated pumping of ethanol. Extract volume of 50 ~ 800ml, 21 cases of a puncture after the disappearance of cysts, 19 cases of 1 month after the diameter of 1/2 and after the second puncture cyst disappeared, cured 40 cases accounted for 80%. 8 cases of puncture after two puncture cysts more than 1/2 effective for 16%. 2 cases of puncture less than 1/2 for invalid accounted for 4%. Ovarian cysts are traditionally treated with surgery. We carry out ultrasound-guided puncture injection of water-free sperm, ethanol is used as a hardener, fine ethanol through the fine