经皮细针穿刺治疗肝囊型包虫病22例初步临床观察

来源 :新疆医学院学报 | 被引量 : 0次 | 上传用户:qq271232312
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
1996年1月至11月期间,我科依照WHO有关人体包虫病治疗指导纲要推荐的穿刺治疗包虫病方法(简称PAIR),在麻醉科医师监护下,由B超定位引导细针(内径0.6~1.3mm)穿刺治疗了22例肝囊型包虫病患者共计26个包虫囊。经过7~18个月的临床随访,结果:(1)包虫囊消失或小于1cm者占31%,囊包虫缩小65%以上者31%包虫囊缩少40%~50%者占38%;(2)其中5例患者置管外引流2周至3个月不等,拔管后情况良好。4例穿刺证实为包虫术后残腔。穿刺治疗前后所有患者均给予口服丙硫咪唑(albendazole),每日每公斤体重10~15mg。穿刺前用药3~5d,穿刺后酌情用药1~3个月,每3个月进行B超随访至少2年。初步结果表明:在严格掌握穿刺适应证条件下,PAIR可作为一种经济、有效、创伤小的治疗手段,尤其对有多次手术史的肝包虫病患者更具优越性。 In January 1996 to November, our department in accordance with the WHO guidelines for the treatment of human echinococcosis recommended treatment of hydatid disease method (referred to as PAIR), under the supervision of anesthesiologists, guided by the B- 0.6 ~ 1.3mm) puncture treatment of 22 cases of liver cyst echinococcosis patients a total of 26 hydatid. After 7 to 18 months of clinical follow-up, the results were as follows: (1) 31% of hydatid cysts disappeared or less than 1 cm, cysts of hydatid cysts reduced 65% or more, 31% of hydatid cysts reduced 40% to 50% %; (2) 5 cases of catheter drainage outside the catheter from 2 weeks to 3 months, after extubation in good condition. Four cases of puncture confirmed hydatid disease residual cavity. Before and after the puncture, all patients were given oral albendazole (albendazole), daily body weight per kilogram 10 ~ 15mg. Puncture before the drug 3 ~ 5d, puncture, as appropriate, medication for 1 to 3 months, B-3-month follow-up of at least 2 years. The preliminary results show that PAIR can be used as an economical, effective and less invasive treatment method under the strict control of puncture indications, especially for patients with hepatic hydatid disease who have had many surgeries.
其他文献
12月4日上午11点,国际芯片设计顶级峰会ISSCC上海新闻发布会现场。在“2007年会全球入选论文特别介绍”议程中,鼎芯通讯总裁陈凯站到了上海国际会议中心会议大厅的讲台上作特
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
世贸组织 (WTO)与国际货币基金组织和世界银行并列为世界经济的三大支柱 ,它对于推动经济全球化 ,促进国际贸易发展 ,必将发挥着更加积极作用。加入世贸组织 ,有利于我国尽早融
一个阳光灿烂的上午,我正在办公桌前快乐地编稿。主编来到我的旁边,虚心问我一些网站建设方面的问题。 知识丰富的主编竟然向我讨教?而我——一个刚从计算机系毕业的大学生
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
期刊
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
期刊
近年研究发现一氧化氮 ( Nitric oxide,NO)和一氧化氮合酶 ( Nitric oxide synthase ,NOS)在脑缺血中具有重要而复杂的作用。随着研究的深化 ,特别是近年药理学方面的进展和
主摇摇任董力常务委员(按姓氏笔画为序)王凤芝(女)王玉玲(女)孙忠玲(女)杜仁伟李树发汪忠汉张锐周建平(女)郭东海中华全国总工会第十四届经费审查委员会主任、常务委员名单
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
以Masson三色染色法,观察血吸虫病兔肝内门静脉、肝动脉、肝窦、中央静脉和小叶间静脉的改变。结果发现,管壁纤维结缔组织增多,中膜平滑肌增殖肥大,中央静脉移位。提示肝内的血管性病变