Nghiên cứu giá trị của phương pháp tiêm cồn tuyệt đối dưới hướng dẫn của siêu âm trong điều trị nang tuyến vú lành tính

SUMMARY

Objective: To investigate the effectiveness of single- session ultrasound-guided percutaneous ethanol sclerotherapy in symptom breast cysts

Methods: Breast cysts symptoms patients underwent ultrasound examination and treated by ethanol sclerotherapy at Bach Mai Hospital from July 2019 to February 2020 were investigated. All patients were aspirated using 20-22G needles refilled using 99% ethanol and reaspirated completely after 10 minutes of exposure under ultrasoundguidance. Follow-ups were done by ultrasound examination at one week and 3 months to 6 months by ultrasound examination.

Results: 62 breast cysts (mean volume, 5.01 ± 4.8 ml; range, 0.8 to 22 ml) of 59 patients (mean age, 44.5 years) had symptoms were treated. 7 patients (11.2%) had painful symptoms, 17 patients (27,4%) had felling burn skin, and 15 patients (24.2%) felling uncomfortable while the ethanol sclerotherapy process and all symptoms disappeared after 5 minutes. 26 breast cysts (42%) were disappeared in sonography examinations and 36 breast cysts (58%) reduced in volume (mean 96,4% volume reduced) after one week. At 3 months to 6 months, 61 cysts (98,4%) completely responded therapy as undetectable on sonography, only one cyst (1.6%) was reduced 88,6% in volume. The success of this technique was 100 %, no patient had serve complication such as hemorrhage or abscess

Conclusion: Ultrasound-guided ethanol sclerotherapy is a simple, fast, and safe method in the treatment of symptom breast cysts.