de Crespigny L C, Robinson H P, Davoren R A, Fortune D
Royal Women's Hospital, Melbourne, Victoria, Australia.
Br J Obstet Gynaecol. 1989 Sep;96(9):1035-9. doi: 10.1111/j.1471-0528.1989.tb03377.x.
One hundred ultrasound-guided ovarian cyst punctures were performed in 88 patients. To minimize the risk of unexpected malignancy, only persistent or painful cysts less than 10 cm in diameter were aspirated, cysts with solid areas or multiple locules were excluded. Cytological diagnosis was not possible in 72 of the 100 fluids; of the others 20 contained cells suggestive of follicular or luteal cysts, four samples suggested endometriosis and four benign tumours of epithelial origin. Oestradiol levels were high in 54 cystic fluids, and a combination of oestradiol estimation and cytology facilitated the identification of a follicular origin. Most such patients would normally have undergone surgery, but this was eventually required in only 10 of 60 in whom the cyst fluid was clear or slightly blood-stained and in 16 of the 28 with heavily blood-stained fluid. Ultrasound-guided ovarian cyst puncture would appear to be a valid alternative to surgery for carefully selected benign ovarian cysts especially when the cyst is considered not to contain blood.
对88例患者进行了100次超声引导下的卵巢囊肿穿刺。为尽量降低意外恶性肿瘤的风险，仅对直径小于10 cm的持续性或疼痛性囊肿进行抽吸，排除有实性区域或多个分隔的囊肿。100份囊液中有72份无法进行细胞学诊断；其余20份含有提示滤泡或黄体囊肿的细胞，4份样本提示子宫内膜异位症，4份为上皮源性良性肿瘤。54份囊液中的雌二醇水平较高，雌二醇测定与细胞学检查相结合有助于确定滤泡来源。大多数此类患者通常会接受手术，但最终只有60例囊液清澈或轻度血染的患者中的10例以及28例重度血染囊液的患者中的16例需要手术。对于精心挑选的良性卵巢囊肿，超声引导下的卵巢囊肿穿刺似乎是一种有效的手术替代方法，尤其是当囊肿被认为不含血液时。
