Lipitz S, Seidman D S, Schiff E, Achiron R, Menczer J
Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Obstet Gynecol. 1995 Aug;86(2):297-9. doi: 10.1016/0029-7844(95)00157-m.
We performed this study to assess the feasibility and effectiveness of ultrasound-guided drainage and ethanol instillation for the treatment of pelvic peritoneal cysts. Six women had pelvic peritoneal cysts after previous pelvic surgery; when the cysts recurred after simple drainage, the patients underwent transvaginal ultrasound-guided drainage and instillation of 20-30 mL of ethanol into the cyst cavity. All patients except one presented with abdominal pain. All cysts had clinical and ultrasonic benign characteristics. Drainage and ethanol instillation were performed successfully in all patients without severe side effects or complications. After a mean follow-up time of 13.6 months, a recurrence was found in only one patient, who was successfully retreated. These preliminary results indicate that transvaginal ultrasound-guided fluid drainage and ethanol instillation is an effective treatment for pelvic peritoneal cysts.
我们开展这项研究以评估超声引导下引流及乙醇注入治疗盆腔腹膜囊肿的可行性和有效性。6名女性在先前盆腔手术后出现盆腔腹膜囊肿；当单纯引流后囊肿复发时，患者接受经阴道超声引导下引流，并向囊肿腔内注入20 - 30 mL乙醇。除1名患者外，所有患者均有腹痛症状。所有囊肿均具有临床及超声检查的良性特征。所有患者均成功进行了引流及乙醇注入，无严重副作用或并发症。平均随访13.6个月后，仅1例患者复发，该患者再次治疗成功。这些初步结果表明，经阴道超声引导下液体引流及乙醇注入是治疗盆腔腹膜囊肿的有效方法。
