摘要
１９９６年１月至１１月期间，我科依照ＷＨＯ有关人体包虫病治疗指导纲要推荐的穿刺治疗包虫病方法（简称ＰＡＩＲ），在麻醉科医师监护下，由Ｂ超定位引导细针（内径０．６～１．３ｍｍ）穿刺治疗了２２例肝囊型包虫病患者共计２６个包虫囊。经过７～１８个月的临床随访，结果：（１）包虫囊消失或小于１ｃｍ者占３１％，囊包虫缩小６５％以上者３１％包虫囊缩少４０％～５０％者占３８％；（２）其中５例患者置管外引流２周至３个月不等，拔管后情况良好。４例穿刺证实为包虫术后残腔。穿刺治疗前后所有患者均给予口服丙硫咪唑（ａｌｂｅｎｄａｚｏｌｅ），每日每公斤体重１０～１５ｍｇ。穿刺前用药３～５ｄ，穿刺后酌情用药１～３个月，每３个月进行Ｂ超随访至少２年。初步结果表明：在严格掌握穿刺适应证条件下，ＰＡＩＲ可作为一种经济、有效、创伤小的治疗手段，尤其对有多次手术史的肝包虫病患者更具优越性。
Between January and November 1996, a total of 22 hydatid patients with 26 cysts were performed by PAIR technique under B ultrasound guidance. The intial results were reported here after 7￣18 month clinical follow up. Eight(31%) cysts disappeared, Eight(31%) cysts diminished their size over 65% compared to the originals, and the remained 10 (38%) cysts decreased down to the half size. Five cases were also dranaged due to biliary fistula in the residual cavity. All the cases must took albendazole at 10￣15mg/kg/d pre and postpunture. The clinical experience indicated that PAIR may have important role in treatment of human cystic echinococosis with an economical, effective and simple procedure, especially with an advantage for the patients undergone multiple operations in the past.
出处
《新疆医科大学学报》
CAS
1997年第3期36-39,共4页
Journal of Xinjiang Medical University
基金
新医一附院40年院庆科研基金
关键词
囊型包虫病
B超引导
穿刺治疗
药物治疗
fine needle
puncture
Ultrasound guidance
cystic echinococcosis
