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[real time case] noninvasive treatment of chocolate cyst by interventional ultrasound

Hits: 3894973 2020-04-22

Aiqier maternity hospital established the first independent interventional ultrasound department in Yancheng, which was led by senior experts to treat gynecological benign tumors. In the past two years, it has successfully operated on more than 100 tumor patients. So that people can enjoy the "one shot can be effective" high-quality medical services without going out of the market. Today, director Tong Yafei of our hospital successfully carried out the "interventional ultrasound non-invasive treatment of chocolate cyst", so that the patients can return to a healthy life. Come and have a look!
Case sharing:
Ms. Zhang's chocolate cyst of bilateral ovaries has been treated with medicine for many years, but the effect is very little. After stopping the medicine, the cyst has increased rapidly. The cyst has been bothering Ms. Zhang. Once, by chance, Ms. Zhang heard that our hospital could do minimally invasive puncture treatment for chocolate cyst. She was overjoyed and went to our hospital to consult director Tong Yafei. After learning about Ms. Zhang's condition, Tong Yafei recommended her to choose interventional ultrasound for non-invasive treatment of chocolate cyst.
Ultrasonic examination showed that there were chocolate cysts in both ovaries of Ms. Zhang, one was about 6cm in diameter, the other was about 3cm in diameter.
Director Tong explained the precautions of interventional ultrasound treatment to the patients and helped them to relieve their psychological worries. Before the operation, the surgical instruments and rooms were strictly disinfected. Everything is ready. Under the guidance of ultrasound, director Tong punctured the ovarian cyst for the patient. Under the guidance of ultrasound, he punctured the No.16 puncture needle into the ovarian cyst. First, the fluid in the cyst cavity was pumped clean. The cyst could not only be punctured. In that case, the cyst would recur quickly. On the basis of puncture and aspiration, we also need to carry out sclerotherapy for the cyst, usually sclerotherapy The agents are anhydrous alcohol, lauryl alcohol, etc.
The mechanism of anhydrous alcohol as sclerosing agent is that it can destroy the inner wall cells of the cyst, make it degenerate and necrotic, lose the secretory function, so that the fluid in the cyst will not increase any more, and the capsule cavity will adhere and close, so as to achieve the purpose of treatment..
Director Tong performs ultrasound intervention for chocolate cyst
There was no pain in the whole operation, 30 minutes, the operation ended smoothly, and the follicles in the patient's ovary were clearly visible. The patient and his family members thanked the child teacher. Director Tong said: "the puncture is over. Several small follicles in the ovary can be seen. It should not be a problem to have a baby."
Old hematocele from chocolate cyst of ovary
Principle of interventional ultrasound therapy:
Under the guidance of B-ultrasound, the fine-needle puncture can directly reach the focus area, pump the fluid or inject the medicine, so that the cyst atrophy disappears, the adenomyoma or myoma degenerates, necrosis, atrophy and fibrosis at the moment of injection, and the clinical symptoms will be relieved. It has the advantages of no operation, fine needle puncture, safety, no trauma, no pain and low cost, which conforms to the treatment concept of post-modern medicine.
Advantages of interventional ultrasound treatment technology:
1. There is no need for surgery, generally only local anesthesia rather than general anesthesia is needed, thus reducing the risk.
2. The damage is small, the recovery is fast, the effect is good, the interference to the body is not big, protect the normal organ to the greatest extent.
3. The treatment time is short, the recovery is fast, the curative effect is good, the expense is low characteristic, is favored by the tumor patient.
4. For the myoma or tumor which has no radical treatment at present, interventional ultrasound therapy can limit the drug to the lesion as far as possible, and reduce the side effects on the body and other organs.
Because of the above advantages, interventional ultrasound treatment has become one of the most important treatment methods for adenomyosis (tumor), hysteromyoma, cervical cyst, ectopic pregnancy, ovarian cyst, especially ovarian chocolate cyst, and gradually replaced or eliminated the original surgery.

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