CT-Guided Percutaneous Needle Puncture Aspiration and Sclerosing Therapy of Ovarian Chocolate Cysts Via Gluteal Pathway

Objective To evaluate the probability of CT guided percutaneous needle puncture aspiration and sclerosing therapy of ovarian chocolate cysts via gluteal pathway. Methods Eight patients with ovarian chocolate cysts, with high risk of organ injuries if approached via anterior abdominal wall, had been treated with needle puncture aspiration and ethanol sclerosis via gluteal pathway. All patients were priscribed Danazol orally in three months after the operation, and were followed with ultrasound for at least six months. Results No operation related complications occurred in all the eight patients. The cysts were observed completely disappeared in 7 cases, and obviously shrunk in one case, and thus resulted a total curate rate 87.5%(7/8), and efficacy rate 100%. Conclusion CT guided percutaneous needle puncture aspiration and sclerosis of ovarian chocolate cysts via gluteal pathway is a microinvasive therapeutic method with easy manipulation, high safety and satisfactory effects. [