【作者】 王炳良； 黄克勇； 丁汇清； 张春宁； 韩向前； 李兴侠；

【Author】 WANG Bingliang~* HUANG Keyong DING Huiqing~* et al.~*Department of Interventional Radiology,Haigang hospital,Lianyungang Jiangsu(222046).~*Department of Radiology,the Second People,s Hospital of Lianyungang City

【机构】 江苏连云港海港医院介入放射科； 连云港市第二人民医院放射科；

【摘要】 目的:总结 CT 引导下经皮穿刺硬化治疗卵巢囊肿的疗效和操作经验方法:CT 引导穿刺硬化治疗单纯性囊肿35例,子宫内膜异位囊肿13例,囊肿直径3.2～19cm。单纯性囊肿用22G Chiba 针穿刺,子宫内膜异位囊肿用16G 静脉留置针进行穿刺,后者在使用前在其塑料外套管距端孔2～3mm 处用7号针头烫出两个侧孔,以利抽液。囊液抽净后向囊腔内注入少量造影剂,经 CT 扫描确定造影剂在囊内且无外漏后将其抽出,注入相当于1/4～1/2囊液量的无水乙醇,并改变患者体位使乙醇与囊内各部充分接触。20分钟后将乙醇抽净,注入用5～10ml 生理盐水溶解的平阳霉素8mg 保留于囊内。结果:48例均一次穿刺成功。抽出囊液12～2000ml。半年至一年后复查有 47例完全消失,一例由原来的14.8cm 缩小至2.5cm,有效率100%,囊肿消失率97.9%。未发生严重并发症,术后无一例发生感染。结论:CT 引导穿刺硬化治疗卵巢囊肿,操作简便,创伤轻微, 疗效满意,是一种安全、有效的治疗方法。更多还原

【Abstract】 Objective To summarize our operational experience and curative effect with CT guided percutaneous ovarian cysts puncture and sclerotic therapy.Methods 48 ovarian cyats in 48 patients were undergone CT guided percutaneous puncture and sclerotic therapy.Among the 48 cases,35 cases had simplex cysts,13 casts had cysts of adenomyosis.The ovaria cysts varied in size from 3.2 to 19 cm in diameter.A 22 gauge Chiba needle was used to puncture for simplex cysts and a 16 gauge vein retain- ing needle was used to puncture for cysts of adenomyosis.In order to aspirate conveniently,a 7# pinhead was used to burn two side hole at the out cannula of vein retaining needle nearby 2-3mm the terminal hole in advance.After aspirating the fluid of the cyst,little contrast medium was injected into the cyst in where no contrast medium extravasate under CT scanning monitor.Then the cyst was rinsed by anhydrated ethanol that equivalent to 1/4-1/2 cyst volume,and change the position of patient to kept the anhtdrated ethanol contact with all the cystic wall,ethanol was aspirated out after 20 min.Then 8 mg Bleomycin which was dissolve with 5～10ml sodium chloride was injected into and kept in the cyst.Resultes 48 cases were punc- ture successfully with single procedure.The amount of aspirated fluid varied from 12 to 2000 ml.There were 47 cases which cysts were disappear after half to one year,and only one patient,s cyst shrank from 14.8 to 2.5 cm.The effective rate was 100%,the disappearance rate was 97.9%.There were no severe complication and infection in this series.Conclusions CT guided percutaneous ovarian cyst puncture and sclerotic therapy with anhydrated ethanhol is an effective and safe method for the treatment of ovarian cysts.更多还原