超声引导高温蒸馏水加干扰素瘤内注射治疗肾上腺转移瘤  

Ultrasound-guided Puncture and Hyperthermal Distilled Water and Interferon Injection into Adrenal Metastatic Tumors

作　　者：张明荣[1] 迟慧[1] 李文伦[1] 柳光恒[1] 

机构地区：[1]潍坊市人民医院泌尿外科,山东省潍坊市261041

出　　处：《中国超声医学杂志》2008年第3期263-265,共3页Chinese Journal of Ultrasound in Medicine

基　　金：山东省自然基金资助项目(No.2003-3130132)

摘　　要：目的探讨肾上腺转移瘤的介入治疗的安全性及疗效。方法对26例经病理证实的肾上腺转移瘤患者,在超声引导下穿刺注射高温蒸馏水及干扰素治疗。结果超声见肿瘤完全消失11例(42.3%);肿瘤明显缩小15例(57.7%);彩色多普勒超声肿瘤内血流消失18例(69.2%);减少8例(30.8%),P<0.05。超声引导下穿刺病理活检为大片状坏死组织,未见癌细胞。血清免疫球蛋白IgA、IgG、IgM和补体C3、C4均有明显升高。结论应用超声引导下介入治疗肾上腺转移瘤疗效显著,治愈率高,安全性较高,对患者创伤小,痛苦小,费用低,是一种理想的治疗方法。Objective To investigate the safety and curative effect of ultrasound interventional therapy in adrenal metastatic tumors. Methods Twenty-six cases were with adrenal metastatic tumor comfirmed by pathology underwent ultrasound guided puncture and injection of hyperthermal distilled water and interferon. Results Tumors in 11 palients （11/26, 42. 3%） disappeared completely tumors shrunk ohveously in 15 cases （15/26, 57. 7 % ） blood flow signals disappeared in 18 cases （18/26, 69.2%） and reduced in 8 cases （8/26, 30. 8%）, P〈0. 05 on CDFI. Conclusions Interventional puncture theraphy guided by ultrasound inadrenal metastatic tumors could raise curative rate and is a safe effective, painless, low cost therapeutic modelity.

关 键 词：肾上腺转移瘤 高温蒸馏水干扰素 超声 介入治疗 

分 类 号：R736.6[医药卫生—肿瘤]