摘要
【目的】探讨人工胸水在超声引导经皮局部治疗位于超声盲区的肝穹窿部肿瘤的应用价值及其安全性。【方法】7例肿瘤位于肝穹窿部的肝癌患者，右侧胸腔注入1～2L生理盐水，然后施行超声引导经皮微波固化或(和)无水乙醇瘤内注射治疗。【结果】人工胸水后，右肺底被推开，超声下肿瘤清晰显像，穿刺径路显现．局部治疗得以顺利进行。患者术后仅觉轻微胸闷，术后3～7d胸水消失，所有治疗均无相关并发症发生。【结论】人工胸水使位于超声盲区无法进行超声引导经皮局部治疗的肝穹窿部肿瘤变为可治。这种方法安全性高，值得推广。
[Objective] To evaluate the appliance value and security of sonographically guided local therapy via an artificially induced right hydrothorax to treat US-invisible liver tumors in the hepatic dome. [ Methods] Artificial right hydrothorax was created by instilling 1.0 - 2.0 L normal saline in seven patients with US-invisible tumors in the hepatic dome and then percutaneous transdiaphragmatic microwave coagulation therapy （PTD-MCT） or absolute ethanol injection （PTD-EIT） was performed. [Results] After the infusion of normal saline into the pleural cavity, the lung was separated from the diaphragm, the tumors were visualized clearly and the puncture passage was created. FTD-MCT and FTD-EIT can proceed smoothly. All patients felt chest distress shghtly and felt better in a week, The artificial hydrothorax disappeared three to seven days after treatment. No patients were found with correlative complications. [ Conclusion] Sonographically guided local therapy in combination with the artificial hydrothorax method is strongly recommended for the treatment of liver tumors in the hepatic dome. Induction of a right hydrothorax is safe.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2005年第6期696-699,共4页
Journal of Sun Yat-Sen University:Medical Sciences
关键词
肝肿瘤/治疗
人工胸水
超声
liver neoplasm/therapy
artificial hydmthorax
ultrasound
作者简介
郑云（1974-），男，福建福州人，博士，主治医师；
李锦清，教授，通讯作者．E-mail：lijq@gzsums．edu．cn
