Takeuchi Yoshito, Okabe Haruumi, Myojo Satoshi, Fujimoto Sotaro
Department of Radiology, Kyoto First Red Cross Hospital, 15-749 Higashiyama, Honmachi, Kyoto 605-0981, Japan.
Hepatogastroenterology. 2002 Jan-Feb;49(43):271-2.
We describe a mediastinal pancreatic pseudocyst treated with a catheter drainage placed under computed tomographic guidance using a newly applied approach. A needle was angled cephalad with the computed tomographic gantry tilt technique, and was inserted into the lowest portion of the cavity through the liver and through the diaphragm. The needle pathway was necessitated by the location of the pseudocyst cavity. The drainage alleviated completely the symptoms with no complications. The puncture technique should be an option for accessing mediastinal lesions percutaneously.
我们描述了一例采用新应用的方法在计算机断层扫描引导下放置导管引流治疗的纵隔胰腺假性囊肿。利用计算机断层扫描机架倾斜技术将针向头侧倾斜，经肝脏并穿过膈肌插入囊肿腔的最低部位。假性囊肿腔的位置决定了针的进针路径。引流完全缓解了症状，且无并发症。经皮穿刺技术应是经皮进入纵隔病变的一种选择。
