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目的:探讨彩色多普勒超声引导介入治疗妇科盆腔囊性病变的价值和方法。材料和方法:1997～2007年对1061例妇科囊性病变在彩色多普勒超声引导下根据病变位置及患者婚否选用经腹或经阴道穿刺抽液及无水酒精固化治疗(对213例最大径线>8.0cm的大囊肿采用无水酒精多次固化,每次凝固3min法,一次注入酒精量不超过60ml;多房囊肿每个房都要单独完成囊液抽吸及无水酒精固化),并行细胞学检查。术后随访3～24个月。结果:99.8%(1059/1061)的病例成功地完成了囊内液体的抽吸,治疗过程中无严重并发症发生。92.0%(976/1061)的病例通过一次超声引导介入治疗囊腔完全闭合。>8.0cm的囊肿一次治愈率为94.8%(202/213),3～24个月的累积复发率5.2%(11/213);卵巢子宫内膜异位囊肿3～24个月累积复发率8.3%,与腹腔镜等其他治疗学方法相似。结论:彩色多普勒超声引导穿刺抽液及无水酒精固化治疗妇科盆腔囊性病变疗效满意。
Objective: To investigate the value and method of color Doppler guided interventional treatment of gynecologic pelvic cystic lesions. MATERIALS AND METHODS: A total of 1061 cases of gynecologic cystic lesions were treated by transabdominal or transvaginal puncture and alcohol-free alcohol therapy under the guidance of color Doppler ultrasound in 1997-2007 Diameter> 8.0cm large cysts with alcohol repeatedly cured, each solidification 3min law, a volume of not more than 60ml of alcohol injection; multiple cysts each room to be completed separately pouch fluid suction and anhydrous alcohol curing) , Parallel cytology. The patients were followed up for 3 to 24 months. Results: 99.8% (1059/1061) of the cases successfully completed the intracapsular fluid aspiration without any serious complications during the treatment. 92.0% (976/1061) cases were completely closed by an ultrasound-guided interventional treatment of the cyst. The average cure rate was 94.8% (202/213) for cysts of> 8.0 cm and 5.2% (3/213) for 3-24 months. The cumulative recurrence rate of ovarian endometriosis between 3 and 24 months was 8.3 %, Similar to other therapies such as laparoscopy. Conclusion: Color Doppler ultrasound guided puncture fluid and alcohol-free cure for gynecological pelvic cystic lesions with satisfactory results.