介入治疗在胰腺疾病中的应用(2)
2013-11-18 01:06
导读:血管内栓塞术是在不影响胰腺供血的情况下将导管插至出血动脉远端或近端充分栓塞旷置靶血管并反复通过造影来确定靶血管及其侧支动脉的闭塞情况,栓
血管内栓塞术是在不影响胰腺供血的情况下将导管插至出血动脉远端或近端充分栓塞旷置靶血管并反复通过造影来确定靶血管及其侧支动脉的闭塞情况,栓塞剂主要为钢丝圈和明胶海绵碎粒。对于胰腺术后形成的假性动脉瘤破裂引起的大出血,还可在相应动脉内局部灌注垂体后叶素加强止血效果[13]。
4 展望
介入作为一种较新的微创性技术正被越来越多的医生所接受,其优点在于靶向治疗,创伤小、简便、安全、有效、并发症少,且明显缩短住院时间,尤其是在胰腺疾病的治疗上具有内科用药和外科手术所不具备的优势。但是介入操作相对较复杂,在胰腺疾病治疗的某些领域尚存在一定的未知因素和不良效果,因此仍需进一步的试验研究和临床评价。
[1] Segal D, Mortele KJ, Banks PA, et al. Acute necrotizing pancreatitis : role of CT-guided percutaneous catheterdrainage. Abdom Imaging, 2007, 32(3): 351-361.
[2] Shelat VG, Diddapur RK. Minimally invasive retroperitoneal pancreatic necrosectomy in necrotizing pancreatitis. Singapore Med J, 2007, 34(4): 399-404.
[3] 陆仁达,李能平,周鸣清,等.早期EST 治疗重症急性胆源性胰腺炎.肝胆胰外科杂志,1999, 11():70-71.
[4] Pereda J, Sabater L, Aparisi L, et al. Interaction between cytokines and oxidative stress in acute pancreatitis. CurrMed Chem, 2006, 13(23): 2775-2787.
[5] Raczynski S, Teich N, Borte G, et al. Percutaneous transgastric irrigation drainage in combination with endoscopic necrosectomy in necrotizing pancreatitis(with videos). Gastrointest Endose, 2006, 64(3): 420-424.
[6] 柏宁野,攀庆洋,宋延. 介入性超声治疗胰腺假性囊肿的探讨[J]. 超声诊断杂志, 2001, 2(1):49-50.
[7] Giovannini M, Pesenti C, Rolland AL, et al. Endoscopic ultrasound-guided drainage of pancreatic pseudocysts or pancreatic abscesses using a therapeutic echo endoscope[J]. Endoscopy, 2001, 33(6) 473-477.
本文来自中国科教评价网 [8] Papachristou E, Link KH, Schoenberg MH. Regional celiac artery infusion in the adjuvant treatment of pancreaticcancer[J]. Anticancer Res, 2003, 23(2A): 831-834.
[9] Sun S, Xu H, X in J, et al. Endoscopic ultrasound-guided interstitial brachytherapy of unresectable pancreatic cancer results of pilot trial[J]. Endoscope, 2006, 38(4): 399-403.
[10] Matsui Y, Nakagawa A, Kamiyama Y, et al. Selective themocoagulation of unresectable pancreatic cancer by using radiofrequency capacitive heating[J]. Pancreas, 2000, 20(1): 14-20.
[11] Bowns G, Rogowskaa Z, Whitelaw DE, et al. Photo dynamic therapy for cancer of the pancreas[J]. Gut, 2002,50(4): 549-557.
[12] Okino H, Maeyama R, Manabe T, et al. Trans-tissue sustained release of gemcitabine from photocured gelatin gelinhibits the growth heterotopic human pancreatic tumor in nude mice[J]. Clin Cancer Res, 2003, 9(15): 5786.
[13] 王志军, 王茂强, 宋鹏, 等. 胰腺疾病外科术后大出血的急症介入治疗[J]. 介入放射学杂志, 2009, 18(6): 420-424.