摘要
目的探讨超声引导下穿刺置入微导管法在恶性心包积液治疗中的价值.方法13例恶性心包积液在超声引导下进行心包穿刺,置入硬膜外麻醉导管(微导管),通过导管抽出心包积液并注入化疗药物.结果13例均成功穿刺并顺利置入微导管,引流积液400～780 ml,平均530 ml.治疗后3、12、24个月存活率分别为92%(12/13),78%(7/9)和60%(3/5),无心包积液复发.结论超声引导穿刺置入微导管法治疗恶性心包积液安全、微创、有效、可行.
Objective To investigate the value of ultrasound - guided microcatheter pericardiocentesis in the management of malignant pericardial effusion. Methods A total of 13 patients with malignant pericardial effusion entered the study. Under the guidance of ultrasonography, the pericardial puncture was performed to introduce an epidural catheter （ microcatheter）. Through the microcatheter, the pericardial fluid was drawn out and chemotherapy drugs were injected into. Results Pericardial puncture and microcatheter implantation was conducted successfully in all the 13 patients. The total drainage volume was 400 -780 ml （mean, 530 ml）. The survival rates at 3, 12, and 24 months after the treatment were 92.3% （12/13） , 77.8% （7/9） , and 60% （3/5） , respectively. No recurrence of pericardial effusion was found. Conclusions Ultrasound - guided microcatheter pericardiocentesis in the treatment of malignant pericardial effusion is safe, minimally invasive, effective, and feasible.
出处
《中国微创外科杂志》
CSCD
2005年第12期991-992,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
心包积液
微导管
超声
Pericardial effusion
Microcatheter
Ultrasound
