ĐIỀU TRỊ TIÊM XƠ NANG LẠC NỘI MẠC TỬ CUNG Ở BUỒNG TRỨNG BẰNG CỒN TUYỆT ĐỐI DƯỚI HƯỚNG DẪN CỦA SIÊU ÂM BÁO CÁO CA LÂM SÀNG VÀ Y VĂN
Nội dung chính của bài viết
Tóm tắt
Tóm tắt
Mục tiêu: đánh giá kết quả bước đầu của phương pháp tiêm xơ nang lạc nội mạc tử cung ở buồng trứng bằng cồn tuyệt đối dưới hướng dẫn của siêu âm. Phương pháp nghiên cứu: báo cáo ca lâm sàng và hồi cứu y văn. Ca lâm sàng: bệnh nhân nữ, 38 tuổi, đau bụng mạn tính được chẩn đoán xác định là nang lạc nội mạc tử cung buồng trứng, các xét nghiệm đều cho thấy không có bằng chứng của ung thư. Bệnh nhân đã được điều trị bằng phương pháp chọc hút dưới hướng dẫn của siêu âm và tiêm xơ bằng cồn tuyệt đối. Kết quả: Sau điều trị một tháng, bệnh nhân đã cải thiện đáng kể cả về triệu chứng lâm sàng và chẩn đoán hình ảnh. Kết luận: bước đầu cho thấy tính an toàn và hiệu quả của phương pháp tiêm xơ bằng cồn tuyệt đối dưới hướng dẫn của siêu âm điều trị nang lạc nội mạc tử cung ở buồng trứng khi không có bằng chứng ác tính.
Từ khóa: nang lạc nội mạc tử cung, buồng trứng, tiêm xơ qua da
Từ khóa
nang lạc nội mạc tử cung, buồng trứng, tiêm xơ qua da
Chi tiết bài viết
Tài liệu tham khảo
1. T. Koike, H. Minakami, M. Motoyama, S. Ogawa, H. Fujiwara, and I. Sato, “Reproductive performance after ultrasound-guided transvaginal ethanol sclerotherapy for ovarian endometriotic cysts,” Eur. J. Obstet. Gynecol.
Reprod. Biol., vol. 105, no. 1, p. 39, Oct. 2002, doi: 10.1016/s0301-2115(02)00144-6.
2. “Ethanol sclerotherapy of ovarian endometrioma: a safe and effective minimal invasive procedure. Preliminary results - PubMed.” Accessed: Feb. 26, 2023. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/25739052/
3. I. F. Devick, B. S. Leise, P. M. McCue, S. Rao, and D. A. Hendrickson, “Ovarian histopathology, pre- and postoperative endocrinological analysis and behavior alterations in 27 mares undergoing bilateral standing laparoscopic ovariectomy,” Can. Vet. J., vol. 61, no. 2, pp. 181–186, Feb. 2020, Accessed: Feb. 26, 2023. [Online]. Available:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973214/
4. B. Cm et al., “ESHRE guideline: endometriosis,” Hum. Reprod. Open, vol. 2022, no. 2, Feb. 2022, doi: 10.1093/hropen/hoac009.
5. F. Raffi, M. Metwally, and S. Amer, “The Impact of Excision of Ovarian Endometrioma on Ovarian Reserve: A Systematic Review and Meta-Analysis,” J. Clin. Endocrinol. Metab., vol. 97, no. 9, pp. 3146–3154, Sep. 2012, doi: 10.1210/jc.2012-1558.
6. A. Ikuta et al., “Management of transvaginal ultrasound-guided absolute ethanol sclerotherapy for ovarian endometriotic cysts,” J. Med. Ultrason. 2001, vol. 33, no. 2, pp. 99–103, Jun. 2006, doi: 10.1007/s10396-005- 0079-2.
7. J. Noma and N. Yoshida, “Efficacy of ethanol sclerotherapy for ovarian endometriomas,” Int. J. Gynecol. Obstet., vol. 72, no. 1, pp. 35–39, Jan. 2001, doi: 10.1016/S0020-7292(00)00307-6.
8. “Sclerotherapy with 5% tetracycline is a simple alternative to potentially complex surgical treatment of ovarian endometriomas before in vitro fertilization - ScienceDirect.” Accessed:Feb.26,2023.Online].Available
9. C. Giorlandino, C. Taramanni, L. Muzii, E. Santillo, C. Nanni, and A. Vizzone, “Ultrasound-guided aspiration of ovarian endometriotic cysts,” Int. J. Gynecol. Obstet., vol. 43, no. 1, pp. 41–44, Oct. 1993, doi: 10.1016/0020- 7292(93)90272-X.
10. “Ultrasound pattern and diagnostic accuracy of primary ovarian endometrioma and its recurrence: a pictorial essay | Sasaran | Medical Ultrasonography.” Accessed: Feb. 26, 2023. [Online]. Available:
https://www.medultrason.ro/medultrason/index.php/medultrason/article/view/2331/1586
11. D. Timmerman et al., “Terms, definitions and measurements to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group,” Ultrasound Obstet. Gynecol. Off. J. Int. Soc. Ultrasound Obstet. Gynecol., vol. 16, no. 5, pp. 500–505, Oct. 2000, doi: 10.1046/j.1469- 0705.2000.00287.x.
12. “ Percutaneous Aspiration and Alcohol Sclerotherapy for Sympto... : Annals of Surgery.” Accessed: Feb. 26, 2023. [Online]. Available: https://journals.lww.com/annalsofsurgery/Abstract/1989/08000/Percutaneous_Aspiration_
and_Alcohol_Sclerotherapy.12.aspx
13. B. Kars, E. E. Buyukbayrak, A. Y. K. Karsidag, M. Pirimoglu, O. Unal, and C. Turan, “Comparison of success rates of ‘transvaginal aspiration and tetracycline sclerotherapy’ versus ‘only aspiration’ in the management of non-neoplastic ovarian cysts,” J. Obstet. Gynaecol. Res., vol. 38, no. 1, pp. 65–69, 2012, doi: 10.1111/j.1447- 0756.2011.01627.x.
14. V. Kukura, I. Krivak-Bolanca, K. Sentija, and S. Katalenić-Simon, “Alcohol sclerosing ovarian cystic lesions, 20 years experience,” Coll. Antropol., vol. 34, no. 1, pp. 37–40, Mar. 2010.
15. S. Y. Lee, M.-L. Kim, S. J. Seong, J. W. Bae, and Y. J. Cho, “Recurrence of Ovarian Endometrioma in Adolescents after Conservative, Laparoscopic Cyst Enucleation,” J. Pediatr. Adolesc. Gynecol., vol. 30, no. 2, pp. 228–233, Apr. 2017, doi: 10.1016/j.jpag.2015.11.001.
16. A. Aflatoonian, E. Rahmani, and M. Rahsepar, “Assessing the efficacy of aspiration and ethanol injection in recurrent endometrioma before IVF cycle: A randomized clinical trial,” Iran. J. Reprod. Med., vol. 11, no. 3, pp. 179–184, Mar. 2013.
17. V. Kukura, T. Canić, Z. Duić, M. Podgajski, and I. Drinković, “[Transvaginal sclerosing therapy of cystic ovarian lesions with alcohol],” Ultraschall Med. Stuttg. Ger. 1980, vol. 25, no. 5, pp. 363–366, Sep. 2004, doi: 10.1055/s- 2004-812956.
18. G. H. Kim, P. H. Kim, J. H. Shin, I. C. Nam, H. H. Chu, and H.-K. Ko, “Ultrasound-guided sclerotherapy for the treatment of ovarian endometrioma: an updated systematic review and meta-analysis,” Eur. Radiol., vol. 32, no. 3, pp. 1726–1737, Mar. 2022, doi: 10.1007/s00330-021-08270-5.
19. Okagaki R, Osuga Y, Momoeda M, Tsutsumi O, Taketani Y. Laparoscopic findings after ultrasound-guided transvaginal ethanol sclerotherapy for ovarian endometrial cyst. Hum Reprod. 1999 Jan;14(1):270. doi: 10.1093/ humrep/14.1.270. PMID: 10374135
Reprod. Biol., vol. 105, no. 1, p. 39, Oct. 2002, doi: 10.1016/s0301-2115(02)00144-6.
2. “Ethanol sclerotherapy of ovarian endometrioma: a safe and effective minimal invasive procedure. Preliminary results - PubMed.” Accessed: Feb. 26, 2023. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/25739052/
3. I. F. Devick, B. S. Leise, P. M. McCue, S. Rao, and D. A. Hendrickson, “Ovarian histopathology, pre- and postoperative endocrinological analysis and behavior alterations in 27 mares undergoing bilateral standing laparoscopic ovariectomy,” Can. Vet. J., vol. 61, no. 2, pp. 181–186, Feb. 2020, Accessed: Feb. 26, 2023. [Online]. Available:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6973214/
4. B. Cm et al., “ESHRE guideline: endometriosis,” Hum. Reprod. Open, vol. 2022, no. 2, Feb. 2022, doi: 10.1093/hropen/hoac009.
5. F. Raffi, M. Metwally, and S. Amer, “The Impact of Excision of Ovarian Endometrioma on Ovarian Reserve: A Systematic Review and Meta-Analysis,” J. Clin. Endocrinol. Metab., vol. 97, no. 9, pp. 3146–3154, Sep. 2012, doi: 10.1210/jc.2012-1558.
6. A. Ikuta et al., “Management of transvaginal ultrasound-guided absolute ethanol sclerotherapy for ovarian endometriotic cysts,” J. Med. Ultrason. 2001, vol. 33, no. 2, pp. 99–103, Jun. 2006, doi: 10.1007/s10396-005- 0079-2.
7. J. Noma and N. Yoshida, “Efficacy of ethanol sclerotherapy for ovarian endometriomas,” Int. J. Gynecol. Obstet., vol. 72, no. 1, pp. 35–39, Jan. 2001, doi: 10.1016/S0020-7292(00)00307-6.
8. “Sclerotherapy with 5% tetracycline is a simple alternative to potentially complex surgical treatment of ovarian endometriomas before in vitro fertilization - ScienceDirect.” Accessed:Feb.26,2023.Online].Available
9. C. Giorlandino, C. Taramanni, L. Muzii, E. Santillo, C. Nanni, and A. Vizzone, “Ultrasound-guided aspiration of ovarian endometriotic cysts,” Int. J. Gynecol. Obstet., vol. 43, no. 1, pp. 41–44, Oct. 1993, doi: 10.1016/0020- 7292(93)90272-X.
10. “Ultrasound pattern and diagnostic accuracy of primary ovarian endometrioma and its recurrence: a pictorial essay | Sasaran | Medical Ultrasonography.” Accessed: Feb. 26, 2023. [Online]. Available:
https://www.medultrason.ro/medultrason/index.php/medultrason/article/view/2331/1586
11. D. Timmerman et al., “Terms, definitions and measurements to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group,” Ultrasound Obstet. Gynecol. Off. J. Int. Soc. Ultrasound Obstet. Gynecol., vol. 16, no. 5, pp. 500–505, Oct. 2000, doi: 10.1046/j.1469- 0705.2000.00287.x.
12. “ Percutaneous Aspiration and Alcohol Sclerotherapy for Sympto... : Annals of Surgery.” Accessed: Feb. 26, 2023. [Online]. Available: https://journals.lww.com/annalsofsurgery/Abstract/1989/08000/Percutaneous_Aspiration_
and_Alcohol_Sclerotherapy.12.aspx
13. B. Kars, E. E. Buyukbayrak, A. Y. K. Karsidag, M. Pirimoglu, O. Unal, and C. Turan, “Comparison of success rates of ‘transvaginal aspiration and tetracycline sclerotherapy’ versus ‘only aspiration’ in the management of non-neoplastic ovarian cysts,” J. Obstet. Gynaecol. Res., vol. 38, no. 1, pp. 65–69, 2012, doi: 10.1111/j.1447- 0756.2011.01627.x.
14. V. Kukura, I. Krivak-Bolanca, K. Sentija, and S. Katalenić-Simon, “Alcohol sclerosing ovarian cystic lesions, 20 years experience,” Coll. Antropol., vol. 34, no. 1, pp. 37–40, Mar. 2010.
15. S. Y. Lee, M.-L. Kim, S. J. Seong, J. W. Bae, and Y. J. Cho, “Recurrence of Ovarian Endometrioma in Adolescents after Conservative, Laparoscopic Cyst Enucleation,” J. Pediatr. Adolesc. Gynecol., vol. 30, no. 2, pp. 228–233, Apr. 2017, doi: 10.1016/j.jpag.2015.11.001.
16. A. Aflatoonian, E. Rahmani, and M. Rahsepar, “Assessing the efficacy of aspiration and ethanol injection in recurrent endometrioma before IVF cycle: A randomized clinical trial,” Iran. J. Reprod. Med., vol. 11, no. 3, pp. 179–184, Mar. 2013.
17. V. Kukura, T. Canić, Z. Duić, M. Podgajski, and I. Drinković, “[Transvaginal sclerosing therapy of cystic ovarian lesions with alcohol],” Ultraschall Med. Stuttg. Ger. 1980, vol. 25, no. 5, pp. 363–366, Sep. 2004, doi: 10.1055/s- 2004-812956.
18. G. H. Kim, P. H. Kim, J. H. Shin, I. C. Nam, H. H. Chu, and H.-K. Ko, “Ultrasound-guided sclerotherapy for the treatment of ovarian endometrioma: an updated systematic review and meta-analysis,” Eur. Radiol., vol. 32, no. 3, pp. 1726–1737, Mar. 2022, doi: 10.1007/s00330-021-08270-5.
19. Okagaki R, Osuga Y, Momoeda M, Tsutsumi O, Taketani Y. Laparoscopic findings after ultrasound-guided transvaginal ethanol sclerotherapy for ovarian endometrial cyst. Hum Reprod. 1999 Jan;14(1):270. doi: 10.1093/ humrep/14.1.270. PMID: 10374135