化学消融术治疗腹部淋巴结转移性病变的临床观察  

Percutaneous lymphatic chemoablation for treatment of intra-abdominal metastatic lymph nodes

作　　者：李登科[1] 曹跃勇[1] 周铭红 

机构地区：[1]宜宾市第二人民医院放射科,四川宜宾644000

出　　处：《现代医药卫生》2010年第10期1473-1474,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨CT引导下经皮化学消融术治疗淋巴结转移性病变的治疗效果。方法:对9例腹部淋巴结转移患者,用22GChi-ba针分步注入肿大的淋巴结内,注射超液态碘化油3～5ml加表阿霉素10～30mg,无水酒精1～2ml,2%的利多卡因3～5ml混合乳剂,尽量使之充满肿大的淋巴结。术后随访1～6个月。结果:患者疼痛缓解率100%,3例完全缓解,7例治疗后淋巴结缩小,2例大小无明显改变。术中和术后无并发症发生。结论:CT引导下经皮化学消融术是治疗腹部癌性淋巴结转移的微创有效方法,可明显减轻或消除疼痛,控制局部病变的发展。Objective：To study the the curative effects of CT-guided percutaneous chemoablation in treatment of metastatic lymph node disease.Methods：9 patients with abdominal lymph node,with step-by-step 22G Chiba needle into swollen lymph nodes,the injection of liquid ultra-iodized oil 3～5 mL plus epirubicin 10～30 mg,ethanol 1～2 mL,2% lidocaine 3～5 mL mixed emulsion,to make it fill swollen lymph nodes as much as possible.The patients were followed up for 6 months after operation.Results：The pain relief rate was 100%,3 cases were complete remission.After treatment,lymph nodes became smaller in 7 cases,the size had no change in 2 cases.No intraoperative and postoperative complications occurred.Conclusion：CT-guided percutaneous chemoablation is the minimally invasive and effective way to treat cancerous abdominal lymph nodes,which can eliminate or significantly reduce pain and control the development of local lesion.

关 键 词：CT引导 腹部 淋巴结 转移 化学消融术 

分 类 号：R445[医药卫生—影像医学与核医学]