NHẬN XÉT ĐIỀU TRỊ NANG VÀ ÁP-XE TUYẾN BARTHOLIN TẠI BỆNH VIỆN PHỤ SẢN TRUNG ƯƠNG

Abstract

Objectives: To review some clinical and subclinical characteristics and results in the treatment of Bartholin gland cysts and abscesses at the National Hospital of Obstetrics and Gynecology. Methodology: Prospective descriptive. Results: The mean age of women with Bartholin gland disease was 37.2±1.1 years. There are symptoms of pain in 78.6% of cases. The rate of treatment technique, excision is 97.4% with Bartholin's cysts; in the treatment of Bartholin gland abscesses, marsupialization accounted for 90.3% and the procedure is 9.7%. About the treatment results: the technique of marsupialization has a recurrence of 20%, the sequelae of hard scars are 16.7%; recurrence of the procedure is 33.3%, sequelae of hard scars is 33.3%; recurrence of excision is 5.3%, sequelae of hard scarring 5.3%, pain during intercourse 2.6% and there were bleeding complications, hematoma after peel was 5.2%. Conclusion: women with Bartholin's gland disease are mainly of reproductive age; pain is the most common clinical symptom in Bartholin gland disease. The technique of excision accounts for a high rate of 97.4% in the treatment of Bartholin's cysts; with a low recurrence rate (5.3%) and few sequelae. The technique of marsupialization accounts for 90.3% in the treatment of Bartholin gland abscess, with a higher rate of recurrence and sequelae than the excision technique.