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超声引导下注射平阳霉素治疗纵膈淋巴管囊肿12例

Ultrasound-guided Percutaneous Injection of Bleomycin for Treatment of 15 Cases of Mediastinal Lymphatic Cyst
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摘要 目的探讨超声引导下注射平阳霉素治疗纵膈淋巴管囊肿的疗效。方法对12例纵膈淋巴管囊肿患者在超声引导下注射平阳霉素,注射前先行超声定位,平阳霉素用利多卡因溶解成2mg·mL-1的溶液,一次最大用量不超过32mg,共注射l^3次。结果 9例囊肿完全消失,3例囊肿明显缩小,个别患者有短暂发热,心跳加速,呼吸急促等不良反应。结论超声引导下注射平阳霉素治疗纵膈淋巴管囊肿具有定位准确、损伤小、并发症少、疗效好等优点,值得临床推广应用。 Objective To evaluate the efficacy of ultrasound-guided injection of bleomycin for mediastinal lymphatic cyst.Methods 12 cases of mediastinal lymphatic cyst between 2010-2014 in our hospital were treated with injection of bleomycin guided by ultrasound.Ultrasound localization was performed before injection.The bleomycin was dissolved into a solution of 2mg/ml by lidocaine.A maximum amount did not exceed 32 mg.Injections were performed l-3times.Results Nine cases of cyst had complete remission and 3cases of cyst significantly reduced.Individual patients had transient fever,rapid heartbeat,shortness of breath and other adverse reactions.Conclusion Ultrasound-guided injection of bleomycin for treatment of mediastinal lymphatic cyst had advantages of accurate positioning,less damage,fewer complications,good effect,etc.It was safe,effective,economical and worthy of promotion.
作者 苏蕾 孙医学 SU Lei SUN Yi-xue(First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, Chin)
出处 《河北北方学院学报(自然科学版)》 2016年第10期22-24,共3页 Journal of Hebei North University:Natural Science Edition
关键词 纵膈淋巴管囊肿 超声引导 平阳霉素 mediastinal lymphatic cyst ultrasound-guided bleomycin
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