良性肝囊肿所致梗阻性黄疸的非手术治疗
Nonoprerative management of obstructive jaundice caused by a benign hepatic cyst.
作者信息
Ogawa Masao, Kubo Shoji, Uenishi Takahiro, Hirohashi Kazuhiro, Tanaka Hiromu, Shuto Taichi, Yamamoto Takatsugu, Takemura Shigekazu
机构信息
Department of Gastroenterological and Hepato-Biliary-Pancreatic Surgery, Osaka City University, Graduate School of Medicine, Japan.
出版信息
Osaka City Med J. 2004 Dec;50(2):95-9.
A 64-year-old man with a 9.0 cm benign hepatic cyst near the hepatic hilum presented with obstructive jaundice caused by the compression of the hepatic ducts. The cyst was aspirated percutaneously, and minocycline hydrochloride was instilled as a sclerosant through a catheter inserted into the cyst. The cyst gradually became smaller, relieving the obstructive jaundice. There were no complications or side-effects. The instillation of minocycline hydrochloride is a useful alternative to ethanol instillation for treating benign hepatic cysts, even when the cyst is causing obstructive jaundice.
一名64岁男性，肝门附近有一个9.0厘米的良性肝囊肿，因肝管受压出现梗阻性黄疸。经皮穿刺抽吸囊肿，并通过插入囊肿的导管注入盐酸米诺环素作为硬化剂。囊肿逐渐变小，梗阻性黄疸得以缓解。未出现并发症或副作用。对于治疗良性肝囊肿，即使囊肿导致梗阻性黄疸，注入盐酸米诺环素也是乙醇注入的一种有效替代方法。
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