摘要
作者报告一例极为罕见的经CT、磁共振成像和寄生虫学确诊的肝脏、腰骶椎管、前列腺多脏器包虫囊肿患者及其介入性治疗经过。我们的临床研究和28个月随访资料说明,超声引导穿刺引流不仅可以成功地用于肝包虫囊肿,同样可以用于难以手术治疗的椎管包虫囊肿和前列腺包虫囊肿。在应用高张盐水或无水酒精进行囊内寄生虫灭活处理中,其高渗吸水等副作用应予考虑。多孔猪尾导管留置引流有利于尽快消除本病的占位效应。
An extremely rare case with multifocal echinococcus cysts located in the liver (2 huge cysts), lumbo-sacral canal (big, bizarre in shape) and prostate confirmed by CT, MR and parasitological studies and successfully treated by interventional ultrasound (US, percutaneous drainage) was reported. Our results and a series of follow-up study for 28 months indicated that percutaneous drainage guided by US not only be very useful in the treatment of hepatic echinococcus cysts with safety but also can be applied successfully in those cysts located at the lumbo-sacral canal and prostate in which surgical operations were almost impossibly performed. We considered that some mild side effects such as water-absorption from surrounding tissue into the cysts may exist when those cysts irrigated with hypertonic saline and/or pure alcohol and only a drainage tube with multiple holes (pig-tail tube) needed.
出处
《中国微创外科杂志》
CSCD
1999年第4期1-5,63-2,共7页
Chinese Journal of Minimally Invasive Surgery
关键词
细粒棘球蚴囊肿
脊椎
前列腺
肝脏
介入性超声
echinococcus cysts liver prostate vertebral canal, interventional ultrasound
