本文關(guān)鍵詞： 改良超聲介入 無水乙醇 盆腔囊腫　出處：《蘭州大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討經(jīng)改良后的超聲引導(dǎo)下無水乙醇硬化治療盆腔囊腫的應(yīng)用價值。 方法將299例盆腔囊腫患者隨機(jī)分成3組：A組(72例)在超聲引導(dǎo)下使用PTC針抽凈囊液后,注入1/2抽出囊液量的無水乙醇(最多不超過100m1),最后囊腔永久保留5ml-10ml無水乙醇；B組(103例)在A組的基礎(chǔ)上,使用無水乙醇反復(fù)多次對囊腔進(jìn)行硬化治療,最后抽凈注入液；C組(124例)在超聲引導(dǎo)下穿刺置入Skater6F-12F引流管抽凈囊液后,注入1/2抽出囊液量的無水乙醇(最大量控制在150m1),然后利用“加壓快速注射法”、“多體位注射法”對囊腔進(jìn)行硬化治療,24h后拔出留置引流管。觀察分析3組患者術(shù)后12個月的療效及并發(fā)癥發(fā)生情況。 結(jié)果1.A組術(shù)后并發(fā)癥發(fā)生率29.8%(25/84),B組術(shù)后并發(fā)癥發(fā)生率15.7%(19/121),C組術(shù)后并發(fā)癥發(fā)生率6.4%(9/141),3組并發(fā)癥發(fā)生率間差異有統(tǒng)計(jì)學(xué)意義(P0.01)；C組和A、B組并發(fā)癥發(fā)生率間差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。 2.治療后12個月,3組患者療效間差異有統(tǒng)計(jì)學(xué)意義(P0.01)。 3.3組囊腫直徑12cm的患者,術(shù)后12個月療效間差異有統(tǒng)計(jì)學(xué)意義(P0.05)；而囊腫直徑≥12cm的患者,術(shù)后12個月療效間差異無統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論在用量上采用“大劑量法”,在方法上采用“加壓快速注射法”“多體位注射法”以及在時間上采用“留置引流24h”的改良后超聲引導(dǎo)下無水乙醇硬化治療盆腔囊腫更科學(xué)合理,安全有效,復(fù)發(fā)率及并發(fā)癥減少,患者樂于接受,值得推廣。
[Abstract]:Objective to evaluate the value of modified ultrasound-guided anhydrous ethanol sclerosis in the treatment of pelvic cysts. Methods 299 patients with pelvic cysts were randomly divided into 3 groups (n = 72). PTC needle was used to purify the cystic fluid under the guidance of ultrasound. Anhydrous ethanol (no more than 100m1g) was injected into 1/2 extracellular fluid (up to 100m1g, and 5ml-10ml anhydrous ethanol was retained permanently in group B). On the basis of group A, anhydrous ethanol was used repeatedly to harden the capsule cavity. Finally, 124 patients in group C were treated with Skater6F-12F drainage tube under ultrasound guidance. 1/2 anhydrous ethanol was injected into the capsule fluid (the maximum amount was controlled at 150m1g), and then the indwelling drainage tube was extracted after 24 hours of sclerosis therapy by "rapid injection under pressure" and "multi-position injection". The postoperative observation and analysis of the three groups of patients were carried out. The curative effect and complications occurred in 12 months. Results 1. The incidence of postoperative complications in group A was 29.825 / 84%, and the incidence of postoperative complications in group B was 15.7and 15.7R / 121C respectively. There were significant differences in the incidence of postoperative complications between group C and group A (P 0.01 / 141). There were significant differences between group A and group A (P 0.01) and group A (P 0.05). 2. The incidence of postoperative complications in group A was significantly higher than that in group B (P < 0.05). 2. There was significant difference in curative effect among the three groups 12 months after treatment (P 0.01). 3.3 in the group with 12 cm cyst diameter, there was a significant difference in the curative effect 12 months after operation (P 0.05), but there was no significant difference in the 12 months after operation in the patients with cyst diameter 鈮，

本文編號：1501977