Bret P M, Atri M, Guibaud L, Gillett P, Seymour R J, Senterman M K
Department of Diagnostic Radiology, Montreal General Hospital, McGill University, Que., Canada.
Radiology. 1992 Sep;184(3):661-3. doi: 10.1148/radiology.184.3.1509048.
Seven patients with a recurrent ovarian cyst after transvaginal needle aspiration underwent alcohol sclerosis of the cyst. The cysts had the appearance of simple cysts at ultrasound (US). Sclerosis, an outpatient procedure, was performed with a transvaginal approach under continuous endovaginal US guidance. After aspiration of the cyst contents, approximately two-thirds of the aspirated fluid was replaced with 100% alcohol that was left in place for 20 minutes and then aspirated. No complication was observed. Four cysts had not recurred at follow-up examinations performed 2, 5, 7, and 12 months, respectively, after sclerosis. One patient underwent surgery because mucinous material was found on analysis of the specimen, which was proved to be a benign cystadenoma. The two other cysts recurred, and one patient underwent surgery. Alcohol sclerosis of ovarian cysts may have a role in the treatment of postmenopausal women with ovarian cysts with a low risk of malignancy.
7例经阴道穿刺抽吸后复发性卵巢囊肿患者接受了囊肿酒精硬化治疗。这些囊肿在超声检查时表现为单纯性囊肿。硬化治疗是一种门诊手术，在持续阴道内超声引导下经阴道进行。抽出囊肿内容物后，用100%酒精替代约三分之二抽出的液体，留置20分钟后再抽出。未观察到并发症。硬化治疗后，分别在2个月、5个月、7个月和12个月进行的随访检查中，有4个囊肿未复发。1例患者因标本分析发现黏液性物质而接受手术，术后病理证实为良性囊腺瘤。另外2个囊肿复发，其中1例患者接受了手术。卵巢囊肿酒精硬化治疗可能对绝经后低恶性风险卵巢囊肿患者的治疗有一定作用。
