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目的:探讨介入超声治疗妇科恶性肿瘤手术后盆腔淋巴囊肿的临床价值。材料和方法:在经腹彩色超声引导下通过穿刺抽液及无水酒精固化对14例卵巢癌、子宫内膜癌、宫颈癌术后症状性盆腔淋巴囊肿共15个囊腔进行超声介入治疗。结果:14例病例15个囊腔均成功地完成了液体抽吸及无水酒精凝固治疗。12例13个囊腔通过一次超声介入治疗囊腔完全闭合。1例多房合并感染者,在抽吸囊液、囊内注入混合性抗生素治疗1周后,行超声介入及无水酒精固化治疗。3个月后复查囊腔完全闭合;另1例治疗后囊腔明显缩小,未经处置,4个月后囊肿自然消失。所有患者介入治疗无直接及晚期并发症发生。结论:超声介入及无水酒精固化治疗妇科恶性肿瘤手术后盆腔淋巴囊肿是一种安全、有效的方法。
Objective: To investigate the clinical value of interventional ultrasound in the treatment of pelvic lymphatic cyst after gynecological malignancies. MATERIALS AND METHODS: Fifteen cysts of postoperative symptomatic pelvic lymphatic cysts in 14 patients with ovarian cancer, endometrial cancer and cervical cancer were treated with ultrasound under the guidance of abdominal color ultrasound with puncture fluid and anhydrous alcohol. Results: Fifteen cysts in 14 cases were successful in liquid aspiration and alcohol-free alcoholic coagulation therapy. Thirteen of the 12 cysts were completely closed by one ultrasound intervention. One case of multifarious co-infection, in the aspiration of cyst fluid, intravitreous injection of antibiotics mixed for 1 week, underwent ultrasound intervention and anhydrous alcohol cure. 3 months after the review of the full closure of the cyst; the other after the cystic cavity was significantly reduced, untreated, 4 months after the natural disappearance of the cyst. No direct or late complications occurred in all patients. Conclusion: Ultrasound-guided and anhydrous alcohol-cured pelvic lymphatic cysts after gynecological malignant tumor surgery is a safe and effective method.