Kết quả sớm của tiêm cồn tuyệt đối diệt nang vú lành tính dưới hướng dẫn siêu âm kết hợp băng ép

Abstract

Benign breast cysts are common in women and may cause pain and anxiety, requiring treatment when symptomatic. This uncontrolled pre–post interventional study was conducted on 30 patients with 40 breast cysts to evaluate the early outcomes and factors associated with complications of ultrasound-guided absolute ethanol sclerotherapy combined with compression bandaging. Outcomes were assessed by ultrasonography 1 week after treatment. The median cyst volume decreased from 5.85 mL before treatment to 0.00 mL after treatment, with a median volume reduction rate of 100.0% (p < 0.001). Complete cyst collapse was achieved in 67.5% of cysts. Early post-procedural complications were infrequent and included skin bruising (7.5%), intracystic hemorrhage (5.0%), and ethanol leakage from the cyst cavity (2.5%). In the exploratory analysis, cysts with complications had higher pretreatment cyst volume and higher absolute injected ethanol volume than those without complications. These preliminary findings suggest that ultrasound-guided absolute ethanol sclerotherapy combined with compression bandaging is effective in reducing the volume of benign breast cysts after 1 week, with a low complication rate. Further studies with larger sample sizes and longer follow-up period are needed to evaluate long-term effectiveness and recurrence rates.