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題 名 | Ultrasound-Guided Transvaginal Cyst Aspiration for the Management of Pelvic Pseudocyst: A Preliminary Experience=經陰道超音波抽吸以治療骨盆腔偽囊腫:初步成效評估 |
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作 者 | 蔡景州; 沈中章; 張簡展照; 許德耀; 龔福財; 張旭陽; 張明揚; 黃富仁; | 書刊名 | 長庚醫學 |
卷 期 | 25:11 2002.11[民91.11] |
頁 次 | 頁751-757 |
分類號 | 417.38 |
關鍵詞 | 骨盆腔偽囊腫; 囊腫抽吸術; Pelvic pseudocyst; Cyst aspiration; |
語 文 | 英文(English) |
中文摘要 | 背景: 針對卵巢腫瘤,以經陰道超音波抽吸的治療方法,已有許多的文獻報導。但經陰道超音波抽吸,以治療骨盆腔偽囊腫的療效目前文獻報導仍然有限。對於曾經接受開腹手術,而有復發性骨盆腔偽囊腫病人,可能需要面臨再次開腹手術的情況。利用經陰道超音波抽吸骨盆腔偽囊腫,可避免再次開腹手術的情況發生。 方法: 在1993年4月之2001年10月間,總計有14位門診病人因罹患骨盆腔偽囊腫,以經陰道超音波抽吸後,加或未加入滑石粉沖洗的方法治療。這些病人除一位是Ib期子宮頸癌以外,,其餘是因子貢腺肌症或肌瘤接受開腹骨盆手術。總機有25個療程進入分析,其中有15個療程加入滑石粉沖洗,而有10個療程未加入滑石粉沖洗。 結果: 在13位病人追蹤時間超過6個月的25個療程中,有88%療程在6個月內未曾復發,有72%療程在一年內未曾復發。而有5位病人只接受1次療程即未復發,有6位病人接受2次療程後未復發。只有2位病人接受3次以上的療程。在一年後的追蹤發現,使用加入滑石粉沖洗的病人平均有33%的復發率,而未使用滑石粉沖洗的病人平均有30%的復發率。 結論: 經陰道超音波抽吸的方法可避免再次開腹手術的情況發生,所以是治療復發性骨盆腔偽囊腫的好方法。 |
英文摘要 | Background: While some research has been reported on the use of transvaginal ultrasound-guided aspiration of ovarian cysts, none has been reported for pseudocysts. Sometimes laparotomy patients experience recurrent pelvic psuedocysts for which they may need to undergo another laparotomy. The use of transvaginal ultrasound-guided aspiration of pelvic psuedocysts may make repeated laparotmies unnecessary. Methods:Between April 1993 and October 2001, 14 outpatients with postoperative pelvic psuedocysts underwent transvaginal ultrasound-guided aspirations with or without surgical starch irrigation. All patients had previously undergone pelvic surgeries for adenomyosis and leiomyoma, except one was stage Ib cervical cancer. A total of 25 treatment cycles by transvaginal ultrasound-guided aspiration were included: 15 cycles with starch and 10 cycles without. Results: The 13 patients with more than 6 months follow-up had a total of 25 aspiration cycles, 22 of which (88%) had no recurrent cyst by the end of their 6-month follow-up period. Eighteen out of 25 cycles (72%) had no evidence of recurrence after 12 months of follow-up. Five patients needed only one aspiration to become disease free and six patients needed two aspirations. Only 2 patients needed 3 or more aspirations procedures. After 12 months of follow-up, 33% of those irrigated with starch had a recurrent pelvic psuedocysts while 30% without starch experienced recurrence. Conclusion: Because it eliminates necessity of repeat laparotomy, transvaginal ultrasound-guided aspiration of pelvic psuedocysts may become a preferred treatment for recurrent pelvic psuedocysts. |
本系統中英文摘要資訊取自各篇刊載內容。