Ron-El R, Herman A, Weinraub Z, Golan A, Langer R, Caspi E, Bukovsky I
Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Zerifin, Israel.
Eur J Obstet Gynecol Reprod Biol. 1991 Nov 3;42(1):43-7. doi: 10.1016/0028-2243(91)90158-h.
Thirty patients with clear ovarian cysts underwent aspiration guided by vaginal ultrasound. In 23 cases a complete aspiration was accomplished. In 4 only partial aspiration was possible, and in the remaining 3 failed aspiration led to surgery. Histological findings correspond to retroperitoneal lipoma and mucinous cystadenoma (2 cases). Malignant cells were not detected in the fluid of any of the 27 aspirates. Eight of the ten patients presenting with abdominal pain experienced a relief following aspiration. Recurrence of the cyst occurred in 12 cases (40%) with significantly smaller dimensions (P less than 0.01). Vaginal ultrasound aspiration of clear cyst is easy and safe and can be considered as an outpatient procedure.
30例卵巢单纯性囊肿患者在阴道超声引导下进行穿刺抽吸。23例实现了完全抽吸。4例仅能部分抽吸，其余3例抽吸失败后进行了手术。组织学检查结果为腹膜后脂肪瘤和黏液性囊腺瘤（2例）。27例抽吸液中均未检测到恶性细胞。10例腹痛患者中有8例在抽吸后疼痛缓解。囊肿复发12例（40%），复发时囊肿尺寸明显更小（P<0.01）。阴道超声引导下卵巢单纯性囊肿穿刺抽吸操作简便、安全，可作为门诊手术。
