论文部分内容阅读
前庭大腺囊/脓肿是妇女常见疾病之一。既往多采用手术剥除,但易复发感染,形成血肿,甚至引起邻近组织器官的损伤。近年来我科应用2％碘酊局部注射治疗31例,效果满意,现报告如下。 1.临床资料 前庭大腺囊肿15例,脓肿16例,年龄19～45岁,最大囊/脓肿6cm×5cm×5cm,左侧14例,右侧17例,门诊治疗22例,住院治疗9例。 治疗方法:局部消毒,无需麻醉,以8～9号针头接20ml注射器,穿刺点选在脓肿下阴道粘膜面,抽出囊/脓肿液(如囊液粘稠或为脓性以10％葡萄糖液或无菌盐水稀释)用生理盐水冲洗干净囊腔后,用2％的碘酊准确注入囊腔内。防止溢入组织内,注药剂量按囊腔内抽出液体4ml注入碘酊1ml,拔出针头,压迫进针处约1～2分钟,针孔处用于无菌纱布保护,门诊患者休息半小时后无特殊不适可离院,一周后复查。如囊/脓肿包块仍存在,则按前次方法注药。术后一个月禁止性生活。
Vestibular sac / abscess is one of the common diseases in women. Past use of surgical stripping, but easy to relapse infection, the formation of hematoma, and even cause damage to adjacent tissues and organs. In recent years, our department applied 2% iodine tincture local injection treatment of 31 cases, the results are satisfactory, are as follows. 1. Clinical data Large vestibular cyst in 15 cases, 16 cases of abscess, aged 19 to 45 years, the largest cyst / abscess 6cm × 5cm × 5cm, left in 14 cases, right in 17 cases, outpatient treatment in 22 cases, hospitalized in 9 cases . Treatment: local disinfection, without anesthesia, 8 to 9 needles connected 20ml syringe, puncture point in the abscess vaginal mucosa surface, remove the capsule / abscess fluid (such as cyst fluid viscosity or purulent to 10% glucose solution or Sterile saline diluted) rinsed with saline clean cysts, with 2% iodine accurately injected into the cysts. To prevent overflow into the organization, the injection dose according to the cyst cavity drawn liquid 4ml injection of iodine 1ml, pull out the needle, oppression into the needle at about 1 to 2 minutes, pinhole Department for sterile gauze protection, outpatient rest half an hour later No special discomfort may be leaving the hospital, a week after the review. If the capsule / abscess mass still exists, according to the previous injection method. A month after the ban sex life.