Treatment of pelvic cysts

Cysts in the pelvic cavity are harmful to women's health. Therefore, many women want to fully understand the treatment methods in order not to affect their pelvic health after having cysts in the pelvic cavity. The following content gives a detailed introduction to the treatment methods for many patients with pelvic cysts, so you can have a comprehensive understanding and read the information as soon as possible.

Traditional Chinese Medicine Treatment

Traditional Chinese medicine believes that pelvic cysts are mostly caused by women neglecting to regulate their body during menstruation or after childbirth, which allows the six evils to invade the body, or because of the seven emotions, which cause organ dysfunction, resulting in dampness, phlegm, and blood stasis that block the blood vessels. Over time, these accumulate and form cysts. The main symptoms of pelvic cysts are lower abdominal distension and pain, lumbar and sacral pain, accompanied by increased leucorrhea, irregular menstruation, infertility, dizziness and fatigue, etc. Traditional Chinese medicine adopts a comprehensive treatment that combines systemic and local treatments, which often achieves better results, shortening the course of the disease and preventing the recurrence of chronic diseases. It gets worse when tired or before and after menstruation.

If you suffer from pelvic cysts, you should pay attention to rest, avoid sexual intercourse during menstruation, and maintain vaginal hygiene. Actively treat vaginitis and cervicitis to prevent this disease. Patients should pay attention to nutrition and avoid spicy and irritating foods to prevent the spread and aggravation of inflammation.

In addition to syndrome differentiation and treatment, Chinese medicine can also try to treat this disease with Chinese medicine prescriptions:

Ingredients: 50 grams of wild yam, 30 grams of Euryale ferox, 15 grams of Rosa laevigata, 12 grams of Acorus calamus, and 100 grams of lean pork. Preparation: Add appropriate amount of water, simmer the soup over low heat, add salt to taste, drink the soup and eat the meat.

Efficacy: This prescription can strengthen the spleen and kidney, detoxify and eliminate dampness. It enters the spleen and kidney meridians. It has the effects of tonifying the spleen and removing dampness, benefiting the kidney and consolidating essence, being astringent and astringent, and can treat excessive leucorrhea. Suitable for chronic pelvic inflammatory disease, vaginitis and cervicitis. Smilax glabra is a tuberous rhizome of a plant in the Liliaceae family. It is sweet, mild and flat in nature, and has the functions of strengthening the spleen, detoxifying and promoting the removal of dampness. Gorgon fruit, also known as chicken head fruit, is sweet and astringent in nature.

"Compendium of Materia Medica": "It quenches thirst and benefits the kidneys, treats incontinence, spermatorrhea, and leukorrhea." The nature of Cornus officinalis is sour and flat, and it has the function of consolidating essence and nourishing the body. The above two ingredients, Gorgon fruit and Cornus officinalis, are also known as the Water and Land Two Immortal Pills. It is an ancient magic prescription for treating spermatorrhea, leucorrhea, and leucorrhea in women due to kidney deficiency. Acorus calamus is pungent and warm in nature, and is good at "relaxing the mind, relaxing the spirit, cheering up the mood, and benefiting the mind". It has a refreshing and fragrant aroma, promotes the flow of qi, removes turbidity, and dispels evil and cures diseases. Therefore, the dietary therapy recipe composed of the above four kinds of medicines has a mild nature and flavor, neither cold nor dry, and is quite appropriate for preventing and treating chronic pelvic cysts. Gynecological examination may reveal pelvic inflammatory lesions, tender masses, or pelvic effusion.

TCM treatment principles

(1) Considering both the symptoms and the root causes When multiple cysts develop to the late stage, the pelvic cavity will be affected, and turbid toxins will accumulate inside the body, resulting in a severe case of obstruction. Therefore, patients with dampness and turbidity should be treated with diuretics to eliminate dampness and turbidity; patients with water vapor should be treated with diuretics to promote the flow of qi. In short, treatment should take into account both the symptoms and the root cause. To strengthen the root cause, methods include nourishing yin, invigorating qi, tonifying the kidney, and strengthening the spleen. To treat the symptoms, methods include clearing away heat, promoting dampness, activating blood circulation, removing blood stasis, calming the liver and extinguishing wind.

(2) Regulating Qi and Activating Blood Circulation: As water and dampness accumulate in the pelvic cavity, they can block the flow of Qi, leading to Qi stagnation and blood stasis. Qi, blood and water are intertwined, so attention should be paid to regulating Qi and activating blood circulation during treatment. For those with hematuria, clear away heat and stop bleeding; for those with obvious bruises on the waist, promote blood circulation, remove blood stasis and relieve pain; for those with abdominal pain and fever, clear away heat and detoxify, promote blood circulation and remove blood stasis.

(3) Strengthening the body. In the early stage, there are no obvious clinical symptoms for pelvic cysts. There may be occasional waist discomfort or there may be multiple pelvic cysts in the family. In the early stage, those with kidney yang deficiency should be treated with kidney tonifying and yang strengthening, while those with kidney yin deficiency should be treated with kidney yin nourishing and kidney tonifying.

Surgery

Surgical treatment of pelvic cysts First, puncture the pelvic tumor through the abdominal wall. The patient lies supine or lateral to expose the puncture site well. Ultrasound scanning is used to determine the puncture point. In principle, the puncture site should be selected along the skin path closest to the lesion. Perform routine skin disinfection and apply sterile towels. Use a sterilized puncture probe to repeat the scan to determine the needle insertion path. During ultrasound-guided puncture histological biopsy, the tissue cutting biopsy needle is loaded into the automatic biopsy gun, the spring is tightened, and the range is determined according to the size of the lesion. The guide line is displayed on the ultrasound screen and the probe is moved sideways to align the guide line with the lesion to be biopsied. Determine the needle insertion depth. Local anesthesia is given at the skin puncture site. Use a surgical blade to poke a small incision of about 2 mm in the skin at the needle entry point, and insert the puncture needle tip into the puncture incision through the puncture guide. Ask the patient to hold his breath, and under ultrasound monitoring, quickly insert the biopsy needle into the leading edge of the predetermined position in the lesion. After pulling the trigger, quickly withdraw the puncture needle to complete the puncture biopsy.

Transvaginal puncture biopsy of tumor: When the tumor is located in the rectouterine pouch or between the uterus and bladder in the pelvic floor and is very low, and the intended target cannot be reached by puncturing through the abdominal wall, transvaginal puncture should be performed. The patient took the lithotomy position and the vulva and vagina were routinely disinfected. Fix the puncture guide frame on the vaginal probe, then place the probe on the dome, call out the puncture guide line on the ultrasound display, adjust the probe angle so that the guide line passes through the lesion to be punctured, and use color flow imaging to confirm that there are no large blood vessels on the puncture path. The assistant loads the puncture needle into the puncture gun and adjusts the range. The operator holds the puncture gun and quickly inserts the puncture needle into the predetermined position in the tumor through the guide frame. The operator pulls the trigger and quickly withdraws the puncture needle to complete the puncture and sampling process.

In most cases, a 2.5-4MHz variable frequency probe can be used for guidance. Use the probe to apply appropriate pressure on the abdominal wall and tilt the probe to form a certain angle with the abdominal wall, so that the puncture needle enters the target obliquely to prevent excessive puncture and damage to abdominal organs. At the same time, as much tissue as possible can be obtained to obtain a clear pathological diagnosis. Transabdominal omental puncture biopsy is satisfactory for patients with pelvic cystic tumors or predominantly cystic tumors with only a small solid part that is difficult to obtain. If there is thickened omentum in the abdominal cavity, transabdominal omental puncture biopsy can be performed. The patient lies supine, and ultrasound scanning is performed to determine the needle insertion path. Routine disinfection, draping and local anesthesia. According to the steps for puncturing a tumor through the abdominal wall, instruct the patient to hold his breath and quickly insert the needle to complete the puncture process. The needle insertion path should be selected at the thickest part of the omentum. Measure the distance from the abdominal wall to the posterior edge of the omentum. If the distance is closer, a 5-7MHz high-frequency probe can be used to guide the puncture.

When using a 21 or 22G negative pressure suction biopsy needle, there is no need to puncture the skin at the needle entry point. Insert the guide into the abdominal wall and stop in front of the peritoneum. Insert the biopsy needle into the front edge of the lesion through the guide needle. After pulling up the needle plug, quickly insert the needle into the predetermined sampling site. Rotate the puncture needle to separate the tissue to be obtained and quickly pull out the puncture needle. Place the obtained tissue on a filter paper and fix it with 10% formaldehyde. If the tissue contains a large amount of liquid and cannot be formed or the specimen taken out is too small, it will be difficult to obtain satisfactory tissue sections after the specimen is dehydrated, wrapped with a needle, and punctured and buried. In this case, the aspirated material from the puncture needle can be pushed out and placed on a glass slide, fixed with 10% formaldehyde, and sent for cytological examination. During ultrasound-guided fine needle aspiration cytology, disinfection and puncture site selection are the same as those for histological biopsy. Insert the guide needle into the abdominal wall through the puncture guide and stop in front of the peritoneum. Insert the biopsy needle into the predetermined position in the lesion through the guide needle, pull out the needle core, connect a 5 or 10 ml syringe to the tail end of the puncture needle for aspiration. After pulling out the needle, push the aspirate onto a glass slide, fix it with 10% formalin, and send it for cytological examination.

If the pelvic cyst is acute, you should take intravenous anti-inflammatory drugs for one to two weeks and oral Chinese medicine (Gynecological Qianjin Tablets). If it is chronic, you should take oral anti-inflammatory drugs and Gynecological Qianjin Tablets, and retain Chinese medicine enema for half a month. If the pelvic cyst is on the ovary and is smaller than 5 cm, it can be observed and treated, with regular follow-up and B-ultrasound every 3-6 months. If the cyst is larger than 5 cm in diameter, hospitalization and surgical treatment should be performed. If the cyst is not on the ovary, first give anti-inflammatory treatment. After one week of intravenous anti-inflammatory drugs, repeat the B-ultrasound. If the cyst shrinks, consider that it is caused by pelvic inflammation. Can be treated conservatively. If the swelling does not shrink after intravenous anti-inflammatory treatment and the symptoms do not improve, hospitalization and surgical treatment should be performed.

The above content has given a detailed introduction to the treatment of pelvic cysts. Therefore, for many women who suffer from this disease, in order to recover as soon as possible, they must fully understand the above treatment methods and then, through comprehensive treatment, let their pelvic cysts recover as soon as possible.