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Ultrasound-guided interventional therapy for recurrent ovarian chocolate cysts.

Abstract
The aim of this study was to determine the effectiveness of ultrasound-guided interventional therapy in the treatment of postoperative recurrent chocolate cysts. The 198 patients enrolled in this study were divided into three groups. In group 1, the saline washing group, the cavity of the cyst was washed thoroughly with warm saline. In group 2, the ethanol short-time retention group, after washing with saline, the cyst was injected with 95% ethanol with a volume of half of the fluid aspirated from the cyst. Ten minutes later, the rest of the ethanol was aspirated. In group 3, the ethanol retention group, the procedures were the same as with the ethanol short-time retention group, except that 95% of the ethanol was retained in the cyst. An ultrasound examination was performed in the third, sixth and 12th months after therapy. The chocolate cyst cure rate was significantly higher in the ethanol retention group (96%, 66/69) than in the ethanol short-time retention group (82%, 56/68) and no case was cured in the first group (saline washing). We conclude that ultrasound-guided injection and 95% ethanol retention are an effective therapy for the treatment of postoperative recurrent chocolate cysts.
AuthorsLu-Lu Wang, Xiao-Qiu Dong, Xiao-Hui Shao, Si-Ming Wang
JournalUltrasound in medicine & biology (Ultrasound Med Biol) Vol. 37 Issue 10 Pg. 1596-602 (Oct 2011) ISSN: 1879-291X [Electronic] England
PMID21856071 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2011 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Chemical References
  • Ethanol
  • Sodium Chloride
Topics
  • Adult
  • Chi-Square Distribution
  • Ethanol (therapeutic use)
  • Female
  • Humans
  • Laparoscopy
  • Middle Aged
  • Ovarian Cysts (diagnostic imaging, therapy)
  • Recurrence
  • Sodium Chloride (therapeutic use)
  • Treatment Outcome
  • Ultrasonography, Interventional

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