论文部分内容阅读
自1984年以来,笔者试行囊肿穿刺抽液后注入95％酒精灌洗治疗腱鞘囊肿10例,疗效满意。 1 临床资料 本组10例中年龄16～65岁。足背囊肿1例,腕关节背侧囊肿8例,腘窝处囊肿1例。一次性囊内抽出胶冻液2ml4例,3ml5例、6ml1例。 2 方法 局部常规消毒。术者左手固定包块,右手持10ml注射器10～12号针头快速刺入囊内。左手向穿刺针处挤压囊内液,加大负压抽吸并转动针头以尽量抽尽囊液后留针。取另一注射器抽吸相应容量95％酒精,缓缓注入囊内,轻轻按摩使酒精广泛与囊内壁接触,如有灼痛感表明酒精从囊内外溢,应予避免。留药5分钟后重新抽尽酒精,用无菌盐水反复冲洗囊内,此时尚可再吸出少许残留粘液物,吸净囊内液体、拔针。碘酒点涂针眼,不必包扎。
Since 1984, the author tried cyst puncture fluid injection 95% alcohol lavage treatment of ganglion cyst in 10 cases, the effect is satisfactory. 1 Clinical data The group of 10 patients aged 16 to 65 years old. Dorsal cyst in 1 case, wrist dorsal cyst in 8 cases and popliteal cyst in 1 case. One-time intracapsular jelly extract 2ml 4 cases, 3ml5 cases, 6ml1 cases. 2 methods local routine disinfection. Surgery left hand fixed mass, the right hand holding 10ml syringe needle 10 to 12 quickly penetrate the capsule. Left hand to the puncture needle at the cyst fluid squeeze, increase the negative pressure suction and rotate the needle as far as possible after pumping liquid retention needle. Take another syringe to take the corresponding capacity of 95% alcohol, slowly injected into the capsule, gently massage the alcohol to make contact with the capsule wall, if there is burning sensation that the overflow of alcohol from the capsule should be avoided. After 5 minutes of drug re-exhaustion of alcohol, repeatedly washed with sterile saline intracapsular, this time can be re-sucked a little residual mucus, net absorption of the bag of liquid, pull the needle. Iodized wine needle eye, do not have dressing.