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1.
CT导引下肝肾囊肿抽吸硬化治疗 总被引:6,自引:0,他引:6
目的:总结CT导引下肝肾囊肿穿刺抽吸硬化治疗的疗效和操作经验。材料和方法:肝囊肿11,肾囊肿15例,多囊肾1例,囊肿大小为3.5-12cm,均用15cm长20GGreene针穿刺治疗,抽出囊液量为21-550ml,囊液抽净后注入99.7%的无水酒精。结果:治疗后症状均有明显好转或消失,本组随访肝囊肿7例、肾囊肿11例,疗效指数I级1例(多囊肾),Ⅱ级肝肾囊肿各2例,Ⅲ级肝囊肿5例肾囊肿8例。穿刺操作顺利,无严重并发症发生。结论:CT导引下肝肾囊肿抽吸硬化治疗操作简便、创伤小、疗效高可作为替代外科手术的有效的治疗方法,多囊肾的单纯抽吸治疗可明显减轻症状,改善肾功能,是一种较好的治疗手段。 相似文献
2.
红霉素硬化疗法在非感染性疾病中的应用现状 总被引:3,自引:0,他引:3
红霉素的化学刺激作用一直被视为药物不良反应 ,近年通过对这一副作用进行深入的实验研究和临床验证 ,成功地用于许多难治性疾病的硬化治疗 ,取得了较好的效果。现就红霉素的硬化治疗新用途的国内外现状加以介绍。 相似文献
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Aaro Leinonen Topi Siniluoto Markku Päivänsalo Ari Karttunen Matti I. Kairaluoma Ilkka Suramo 《European radiology》1993,3(3):213-218
Nineteen patients with 49 symptomatic non-neoplastic non-parasitic simple hepatic cysts were subjected to ultrasonographically guided percutaneous aspiration and temporary injection of 99% ethanol into the cyst. Small cysts were treated twice, the large ones three times at the same sitting. The volume of alcohol per injection varied from 20 to 100 ml, depending on the size of the cyst. A cure was usually achieved with one ethanol sclerotherapy treatment. Only minor side effects such as transient pain and temperature elevation occurred. Forty-seven of the 49 cysts could be treated adequately, and did not recur during a follow-up period af 12–40 months. The results indicate that aspiration an and ethanol sclerotherapy is the treatment of choice in patients with symptomatic non-neoplastic simple hepatic cysts or polycystic liver disease.
Correspondence to: A. Leinonen 相似文献
5.
T. S Anand Ritu Mittal T. B. Shashidhar R. K. Sharma 《Indian journal of otolaryngology and head and neck surgery》2006,58(4):402-404
Massive vascular malformation involving tongue can cause significant functional impairment. In this report we describe a rare
case of extensive venous malformation involving tongue leading to obstructive sleep apnoea, inability to speak, eat, severe
discomfort due to exposure induced dryness and ulceration. Multimodality treatment approach comprising of sclerotherapy, electrocautery
and radiation therapy was used in this case. 相似文献
6.
目的探讨Klippel-Trenaunay(KT)综合征血管内硬化治疗的疗效及安全性。方法6例KT综合征患者行顺行静脉造影、多普勒超声后行患肢动脉造影,并经动脉主干注入碘油平阳霉素乳剂,随访观察疗效及术后并发症。结果顺行静脉造影和多普勒超声显示单纯异常扩张浅静脉6例,深静脉无异常;动脉造影显示动脉二、三级分支增多,软组织内见染色影。术后并发症主要有肢体肿胀和感觉异常。随访8~40个月,5例肢体症状明显好转,1例症状反复。结论碘油平阳霉素乳剂血管内硬化治疗KT综合征能有效改善患肢症状。 相似文献
7.
Rolika Bansal Santosh G Honavar Shiva Shankar Talloju Kaustubh Mulay 《Indian journal of ophthalmology》2022,70(2):709
Background:Dermoid cyst, a developmental benign choristoma, is the most common orbital tumor of childhood, arising from ectodermal sequestration along the lines of embryonic fusion of mesodermal processes, lined by keratinized stratified squamous epithelium and expanding slowly due to constant desquamation and dermal glandular elements. Approximately 80% are found in the head and neck region and comprise 3-9% all orbital masses.Purpose:It is mandatory to know about the variable presentations of orbital dermoids and the surgical techniques that can be adopted based on the site, extent, age and aesthetic needs, presence of inflammation and possibility of intraoperative rupture.Synopsis:Orbital dermoids can be classified as juxta-sutural, sutural or soft tissue cysts; superficial or deep; intraosseous or extraosseous, and intraorbital or extraorbital. These smooth, painless, mobile or partially mobile lesions mostly present at the fronto-zygomatic suture with proptosis, displacement, ptosis or diplopia, depending on depth and extent. Therefore, it is important to understand the various presentations and the appropriate surgical techniques.Highlights:We describe the embryological origin, types and clinical features of dermoids in this video and demonstrate the surgical and minimally invasive techniques for their management.Video link: https://youtu.be/-q3xD2igjcQ 相似文献
8.
P. Tiwari V. Pandey R.N. Bera S.P. Sharma N. Chauhan 《International journal of oral and maxillofacial surgery》2021,50(5):619-626
Intralesional sclerotherapy for lymphatic malformations (LMs) has become a modality of choice because of the high morbidity and recurrence rates with surgical excision. Traditionally, the macrocystic variant has shown good results with sclerotherapy. This prospective study was performed to evaluate the role of bleomycin sclerotherapy in the management of different radiological variants of LM. A total of 142 patients were included in this study. The lesions were classified as macrocystic, microcystic, or mixed LMs on the basis of ultrasonography. All patients were managed by intralesional injection of bleomycin and were recalled after 4 weeks for evaluation. Colour photographs of the patients were taken before the onset of treatment and at each monthly visit, and were utilized to assess the response. Following the second, third, and fourth doses, the response was better in patients with the macrocystic variant than in those with the other two variants. However, after the completion of six doses, 80.3% of patients with the macrocystic variant, 67.4% with the microcystic variant, and 71.4% with the mixed type had a complete response. There was no difference in the overall response between the three types (P = 0.28). Oedema, erythema, and local induration with fever were the most common adverse effects and were more common in younger children. 相似文献
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Mario I.Cárdenas-Vargas Mario I.Ortiz Jeannett Izquierdo-Vega Mariana Díaz-Zamudio 《介入医学杂志(英文)》2021,4(1):15-20
The present study aimed to determine the effectiveness of sclerotherapy using NBCA (Histoacryl Blue®; B. Braun, Melgungen, Germany), with or without hydrodissection, for the treatment of simple renal cysts. Materials and Methods: Patients who presented to an interventional radiology clinic for the diagnosis of symptomatic renal cysts which had previously been identified at an outpatient clinic were selected for inclusion in this study. A total of 28 patients were randomly divided into 2 groups, based on whether or not they underwent hydrodissection along with ultrasound-guided NBCA-based sclerotherapy. Sonographs were performed at 0, 7, and 180 days post-procedure to record the residual volume of the renal cysts and to determine the efficacy of the procedure. Results: A total of 32 cysts in 28 patients were treated with sclerotherapy, 18 (64%) females and 10 (36%) males. The average age of the patients was 61.8 years (range: 33–89 years). All patients reported an improvement in symptoms associated with the existing renal cysts at 7 and 180 days post-procedure, and at 7 days post-procedure a statistically significant reduction in cyst volume was observed (all patients: 96.8%; group A: 96%; group B: 97.6%). The reduced cyst volume was still observed 180 days post-procedure (all patients: 98.6%; group A: 98.2%; group B: 98.9%). There was no significant difference between the two treatment groups. Conclusion: There is a significant and persistent reduction in the volume of renal cysts, in addition to an improvement of the associated symptoms, after treatment with NBCA-based sclerotherapy, with or without hydrodissection. 相似文献