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外阴前庭大腺囊肿是妇女常见病之一,常易合并感染,以前以手术摘除为主,近年来主要采取囊肿切口造口术,取得了良好的效果。现将我院1983～1987年间48例前庭大腺囊肿中施行囊肿造口术的19例作一分析。临床资料1.年龄:20～58岁,其中以25～45岁生育年龄居多,占75%,45～60岁占21%;25岁以下占4%(均未婚)。2.囊肿的侧别及大小:囊肿多发生于单侧,左侧占62.5%,右侧占37.5%。双侧同时发病极少,仅1例。囊肿最大径限7×5cm,最小径限2.5×2.5cm。3.临床症状:病人除局部感觉发胀或有磨擦感外,无其它不适。合并感染时,局部红肿,触痛明显,重者形成脓肿并有低热。4.手术情况:1)手术方法:先嘱患者以1:1000的高锰酸钾液坐浴3天,在局麻下,以囊肿凸出点为中心做一纵切口,长度由囊肿大小而定,一般切口与囊肿大小一致。囊肿过大者做十字形切开,用生理盐水冲洗囊腔,以碘酒、酒精彻底擦净囊壁,然后将囊壁外翻,将其切口与周围粘膜用0号铬制肠线或4号丝线结节缝合,以便在造口的中心部形成一新的导管开口,以保持正
Vaginal vestibular gland cyst is one of the common women, often easy to merge infection, former surgery to remove the main cyst incision in recent years to take an incision, and achieved good results. Now in our hospital from 1983 to 1987, 48 cases of large adenocarcinoma of the cyst in 19 cases of cyst for an analysis. Clinical data 1. Age: 20 to 58 years old, of which 25 to 45 years of reproductive age, accounting for 75%, 45 to 60 years of age accounted for 21%; 25 years of age accounted for 4% (both unmarried). Cysts of the side and size: cyst occurred in more than unilateral, left accounted for 62.5%, right accounted for 37.5%. Bilateral disease at the same time rarely, only 1 case. The maximum diameter of cysts 7 × 5cm, the minimum diameter of 2.5 × 2.5cm. 3. Clinical symptoms: In addition to the patient’s feeling of partial swelling or a sense of friction, no other discomfort. Combined infection, local swelling, tenderness significantly, severe abscess formation and fever. 4. Surgical conditions: 1) surgical methods: first Zhu Huanzhe 1: 1000 potassium permanganate bath for 3 days, under local anesthesia, the cyst protruding point as the center to do a longitudinal incision, the length of the cyst size Set, the general incision and cyst size. The cysts are too large to do a cross-shaped incision, flush the cyst with saline, iodine, alcohol thoroughly wipe the wall, and then valgus wall, the incision and the surrounding mucosa with 0 # of chromium gut or 4 Number of suture nodules to form a new catheter opening in the central part of stoma to keep positive