超声引导下心包腔内置管术治疗恶性心包积液

Percutaneous trans-catheter intervention for the treatment of malignant pericardial effusion under ultrasonographic guidance

目的 探讨超声引导下经皮穿刺心包腔内置管术在治疗恶性心包积液中的临床意义。方法 在MEDI SION 3 2 0 0超声仪 3 .5HMZ探头引导下 ,采用固定导向支架将穿刺针经导向管穿刺入心包腔 ,留置猪尾导管于心包腔内。一方面引流减压 ,一方面腔内化疗。术后 3、7、10天 ,根据引流量变化情况及化疗情况拔除引流管。结果 15例患者穿刺引流均一次成功。所有病例临床症状均获缓解 (11例 )或明显好转 (4例 )。结论 在超声引导下心包腔穿刺准确率高 ,心脏损伤机率小 ,术后充分引流加心包腔内化疗能有效地缓解心包填塞症状 ,有效地控制恶性心包腔内积液 ,提高患者的生存质量 ,延缓晚期肿瘤患者的生存时间。

Objective To investigate the clinical significance of ultrasonographic guidance in percutaneous trans catheter intervention for the treatment of malignant pericardial effusion.Methods After the pericardial puncture under ultrasonographic guidance,a pigtail catheter was inserted to drain off the effusion.Certain anti cancer drugs was instilled into the pericardial cavity and the catheter was withdrawn when fluid did not re accumulate.Results In all the 15 cases studied,the effective rate was 100%,and the complete remission was 73.3%.Conclusion The ultrasonographic guidance in percutanous trans catheter intervention is useful for the treatment of malignant pericardial effusion.