经皮引流联合乙醇硬化疗法治疗术后淋巴囊肿
Treatment of postoperative lymphoceles with percutaneous drainage and alcohol sclerotherapy.
作者信息
Sawhney R, D'Agostino H B, Zinck S, Rose S C, Kinney T B, Oglevie S B, Stapakis J C, Fishbach T J
机构信息
Department of Radiology, University of California, San Diego Medical Center 92103-8756, USA.
出版信息
J Vasc Interv Radiol. 1996 Mar-Apr;7(2):241-5. doi: 10.1016/s1051-0443(96)70769-8.
PURPOSE
To assess the efficacy and safety of percutaneous catheter drainage combined with alcohol sclerosis in the treatment of postoperative lymphoceles.
PATIENTS AND METHODS
Thirteen patients with 14 postoperative symptomatic lymphoceles were treated. Drainage catheters were inserted under ultrasound (n = 13) or computed tomographic (n = 1) guidance. Lymphocele sclerosis was performed by instilling 10-100 mL of absolute alcohol into the lymphocele cavity and aspirating the alcohol after 30 minutes. Sclerosis sessions were carried out one to three times per day, usually three times per week. Catheter sinograms were obtained and prophylactic antibiotics administered. Imaging was repeated if symptoms or signs of recurrence developed.
RESULTS
Successful drainage and sclerosis were achieved in all 13 patients. One patient with a recurrence was successfully treated with repeated drainage and alcohol ablation. No adverse effects of alcohol instillation were seen. The mean duration of catheterization was 36 days (range, 17-65 days; median, 30 days).
CONCLUSION
Percutaneous drainage combined with alcohol ablation is a safe and effective treatment of postoperative lymphoceles.
目的
评估经皮导管引流联合酒精硬化治疗术后淋巴囊肿的疗效和安全性。
患者与方法
对13例患者的14个术后有症状的淋巴囊肿进行治疗。在超声引导下插入引流导管13例，计算机断层扫描引导下插入1例。通过向淋巴囊肿腔内注入10 - 100 mL无水酒精并在30分钟后吸出酒精来进行淋巴囊肿硬化治疗。硬化治疗每天进行1至3次，通常每周3次。进行导管造影并给予预防性抗生素。如果出现复发的症状或体征，则重复进行影像学检查。
结果
13例患者均成功实现引流和硬化治疗。1例复发患者经重复引流和酒精消融成功治愈。未见酒精注入的不良反应。导管留置的平均时间为36天（范围17 - 65天；中位数30天）。
结论
经皮引流联合酒精消融是治疗术后淋巴囊肿的一种安全有效的方法。
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