Mungan T, Uğur M, Yalçin H, Alan S, Sayilgan A
Dr. Zekai Tahir Burak, Women's Hospital, Ankara, Turkey.
Eur J Obstet Gynecol Reprod Biol. 1995 Nov;63(1):61-3. doi: 10.1016/0301-2115(95)02229-z.
In a prospective randomized study, intracavitary silver nitrate (AgNO3) stick insertion (n = 25) was compared to the conventional excision technique (n = 25) for Bartholin's cyst or abscess. Two groups were similar with regard to age, previous Bartholin's cyst/abscess and size of the cyst. Operation and healing time was significantly shorter in the AgNO3 group (P < 0.001, P < 0.001, respectively). Chemical burning in the vulva was observed in one patient in the AgNO3 group, whereas hematoma on the operation site occurred in two patients in the excision group. Scar formation was found in two patients in whom excision was performed. Patients were followed for a period of 2 years and recurrence was not found in any of the cases in both groups. We conclude that, AgNO3 insertion treatment for Bartholin's cyst and abscess is as effective as excision and is associated with fewer complications. Because it is simple and inexpensive, it is an attractive alternative treatment modality for this common gynecological disease.
在一项前瞻性随机研究中，将25例巴氏腺囊肿或脓肿患者采用腔内插入硝酸银（AgNO₃）棒治疗与25例采用传统切除技术治疗进行了比较。两组在年龄、既往巴氏腺囊肿/脓肿情况及囊肿大小方面相似。AgNO₃组的手术时间和愈合时间明显更短（分别为P < 0.001，P < 0.001）。AgNO₃组有1例患者出现外阴化学性灼伤，而切除组有2例患者手术部位出现血肿。接受切除手术的2例患者出现了瘢痕形成。对患者随访2年，两组均未发现复发情况。我们得出结论，AgNO₃插入治疗巴氏腺囊肿和脓肿与切除治疗效果相同，且并发症更少。由于其操作简单且费用低廉，是这种常见妇科疾病一种有吸引力的替代治疗方式。
