无水酒精瘤内注射治疗不能切除的胰头癌  

Intratumor injection with anhydrous alcohol for unresectable cancer of the head of pancreas

作　　者：胡骥琼[1] 李涛[1] 汪为林[1] 张琪 

机构地区：[1]皖南医学院弋矶山医院普外科

出　　处：《中国普通外科杂志》1999年第3期186-188,共3页China Journal of General Surgery

摘　　要：目的总结无水酒精瘤内注射及减黄手术治疗不能切除的胰头癌的临床经验。方法回顾性分析１９９３年１０月～１９９７年２月２９例不能切除的胰头癌在减黄手术中，于肿瘤内注射无水酒精，术后定期随访。结果减黄手术后１周黄疸逐渐减轻。顽固性腰背痛于短时间内不同程度缓解。肿瘤在术后２月均有所缩小，４例消失。其效果与肿瘤大小、浸润范围呈负相关。结论瘤内无水酒精注射是抑制肿瘤发展的一种辅助措施。此法安全、简便。对原发肿瘤较小、又不能耐受大手术的胰腺癌病人预后较佳。Objective To summarize the clinical experience of the intratumour injection with anhydrous alcohol for unresectable cancer of the head of pancreas(PHC) during the alleviating operation. Methods A retrospective analysis of the clinical data was made on 29 cases of unresectable PHC admitted from October 1993 to February 1997. All tumours were injected with anhydrous alcohol during the operation. All cases were followed up periodically. Results Jaundice was gradually lightened a week after injection. Stubborn lumbodorsal pain relieved to some extent. The size of the tumour diminished in 25 cases and disappeared in 4 cases two months after operation. The effects were inversely related to the size and the extension of tumor invasion. Conclusions The intratumour injection with anhydrous alcohol is a supplementary measure to inhibit the expansion of tumour. As a safe and simple method, it can improve the prognosis of the patients with small primary tumour and unable to tolerate a complicated operation.

关 键 词：胰腺肿瘤 病灶内注射 无水酒精 胰头癌 

分 类 号：R735.905[医药卫生—肿瘤]