Ultrasound-guided drainages and sclerotherapy
Ultrasound-guided drainages and sclerotherapy
复制标题
超声引导引流和硬化疗法
DOI：
10.1007/s00330-001-1252-7
复制
发表时间：
2002
影响因子：
5.9
通讯作者：
P. Lohela
中科院分区：
文献类型：
--
作者：
P. Lohela
超声引导下的液体收集和脓肿引流已成为身体各个部位的常规程序。在大多数情况下，超声是唯一需要的成像和引导方式；然而，最重要的是要记住，当必须确定过程的真实程度时，以及在解剖复杂的区域评估导管最安全的路径时，CT和造影剂透视通常提供宝贵的信息。应强调脓肿腔液冲洗和尿激酶及时应用的重要性。乙醇硬化疗法是一种简单而安全的治疗症状性肝或肾囊肿的方法。甲状旁腺瘤和囊肿，以及甲状腺囊肿，也可以用乙醇硬化疗法治疗在选定的情况下。纯化矿物滑石粉已用于胸膜切除术和鞘膜积液硬化治疗，而强力霉素或乙醇用于术后淋巴细胞。在许多临床情况下，脓肿引流和硬化治疗都是微创、简单、安全、廉价和合理有效的治疗方法，至少可以作为手术治疗的一种替代方法，通常比手术具有显著的优势。
Ultrasonically guided fluid collection and abscess drainage have become routine procedures in various parts of the body. In most cases ultrasound is the only imaging and guidance modality needed; however, it is of the utmost importance to remember that CT and fluoroscopy with contrast often give invaluable information when the true extent of the process has to be determined and when assessing the safest route for the catheter in anatomically complicated areas. The importance of irrigation of the abscess cavity with fluids and the ready use of urokinase should be emphasized. Ethanol sclerotherapy is a simple and safe procedure to treat symptomatic hepatic or renal cysts. Parathyroid adenomas and cysts, as well as thyroid cysts, can also be treated with ethanol sclerotherapy in selected cases. Purified mineral talc has been used in pleurodesis and hydrocele sclerotherapy, whereas doxycycline or ethanol is used for postoperative lymphoceles. Both abscess drainages and sclerotherapy procedures are minimally invasive, simple, safe, inexpensive and reasonably efficacious treatment in many clinical instances and may be at least an alternative to surgical treatment, often offering significant advantages over surgery.