Figueiredo Ana Cristina Neves, Duarte Paula Elisa Folgado da Silva Ambrósio Rebelo, Gomes Tereza Paula Monteiro, Borrego Jorge Manuel Paiva, Marques Carlos Alfredo Caseiro
Ginecology Service of Doutor Alfredo da Costa Maternity, Centro Hospitalar Lisboa Central, Lisbon, Portugal.
Rev Bras Ginecol Obstet. 2012 Dec;34(12):550-4. doi: 10.1590/s0100-72032012001200004.
To evaluate the effectiveness, recurrence rate, and complications of carbon-dioxide laser vaporization in the treatment of Bartholin's gland cysts.
A retrospective study including 127 patients with symptomatic Bartholin' gland cysts submitted to carbon-dioxide laser vaporization at our institution from January 2005 to June 2011. Patients with Bartholin's gland abscesses and those suspected of having neoplasia were excluded. All procedures were performed in an outpatient setting under local anaesthesia. Clinical records were reviewed for demographic characteristics, anatomic parameters, intraoperative and postoperative complications, and follow-up data. Data were stored and analyzed in Microsoft Excel® 2007 software. A descriptive statistical analysis was performed, and its results were expressed as frequency (percentage) or mean±standard deviation. Complication, recurrence, and cure rates were calculated.
The mean age of the patients was 37.3±9.5 years-old (range from 18 to 61 years-old). Seventy percent (n=85) of them were multiparous. The most common symptom was pain and 47.2% (n=60) of patients had a history of previous medical and/or surgical treatment for Bartholin's gland abscesses. Mean cyst size was 2.7±0.9 cm. There were three (2.4%) cases of minor intraoperative bleeding. Overall, there were 17 (13.4%) recurrences within a mean of 14.6 months (range from 1 to 56 months): ten Bartholin's gland abscesses and seven recurrent cysts requiring reintervention. The cure rate after single laser treatment was 86.6%. Among the five patients with recurrent disease that had a second laser procedure, the cure rate was 100%.
At this institution, carbon-dioxide laser vaporization seems to be a safe and effective procedure for the treatment of Bartholin's gland cysts.
评估二氧化碳激光汽化术治疗巴氏腺囊肿的有效性、复发率及并发症。
一项回顾性研究，纳入了2005年1月至2011年6月在本机构接受二氧化碳激光汽化术治疗的127例有症状的巴氏腺囊肿患者。排除巴氏腺脓肿患者及疑似患有肿瘤的患者。所有手术均在门诊局部麻醉下进行。回顾临床记录，获取人口统计学特征、解剖学参数、术中及术后并发症以及随访数据。数据存储于Microsoft Excel® 2007软件中并进行分析。进行描述性统计分析，结果以频率（百分比）或均值±标准差表示。计算并发症、复发率及治愈率。
患者的平均年龄为37.3±9.5岁（范围为18至61岁）。其中70%（n = 85）为经产妇。最常见的症状是疼痛，47.2%（n = 60）的患者既往有巴氏腺脓肿的内科和/或外科治疗史。囊肿平均大小为2.7±0.9 cm。有3例（2.4%）术中出现少量出血。总体而言，平均14.6个月（范围为1至56个月）内有17例（13.4%）复发：10例巴氏腺脓肿和7例复发性囊肿需要再次干预。单次激光治疗后的治愈率为86.6%。在接受第二次激光手术的5例复发病例中，治愈率为100%。
在本机构，二氧化碳激光汽化术似乎是治疗巴氏腺囊肿的一种安全有效的方法。
