超声引导下经皮无水乙醇注射治疗颈淋巴结转移癌的临床观察

Clinical Observation of Percutaneous Ethanol Injection of Anhydrous Alcohol for Patients with Neck Lymph Node Metastasis

目的：观察超声引导下经皮无水乙醇（PEI）治疗颈淋巴结转移癌患者的临床疗效。方法：对本院收治的19例病理确诊的伴有颈部淋巴结转移治疗后局部复发的癌症患者的23个颈淋巴结转移瘤进行回顾性研究,所有患者均接受了PEI治疗,记录患者淋巴结体积的大小及吸收情况并进行分析。结果：患者治疗后,淋巴结病灶的大小随时间的延长呈持续下降趋势,且疗效较明显,与治疗前比较差异有统计学意义（P〈0.05）;23个转移淋巴结中,共有12个完全吸收,5个吸收〉80%,4个吸收50%-80%,2个吸收〈50%。结论：超声引导下经皮无水乙醇治疗（PEI疗法）应用于颈淋巴结转移癌局部残留或复发,能取得较好的近期疗效,值得临床推广使用。

Objective： To observe the effect of ultrasound guided by anhydrous alcohol （PEI） for the treatment of cervical lymph node metastasis. Method： 19 cases of cancer with pathological diagnosis and associated with 23 pieces cervical lymph nodes metastasis in our hospital were analyzed .All patients underwent PEI treatment, the volume of lymph node were recorded and the clinical curative effects were observed.Result： After treatment, lymph node lesion size with time showed a declining trend, the effect obvious compared with before treatment,the difference was statistically significant（P〈0.05）.In 23 pieces, 12 pieces completely absorbed, 5 pieces absorption〉80%,4 pieces of 50%-80%, 2 pieces of absorption less than 50%.Conclusion： PEI therapy has good curative effect for patients with cervical lymph node metastasis,it is worthy of clinical use.