医学论文-高强度聚焦超声治疗胰腺癌的胃肠道准备.docVIP

医学论文-高强度聚焦超声治疗胰腺癌的胃肠道准备 ????????????????? 作者：张惠芳，徐叶青，贺蓓蓓??【摘要】? 目的? 探讨高强度聚焦超声（high intensive focused ultrasound,HIFU）治疗胰腺癌的胃肠道准备要点。方法? 胰腺癌患者45例，共行HIFU治疗262次，治疗前先服用扶正祛邪、疏肝理气、消食化积的中草药3～4天，采用胃肠减压者74例次，术前单纯禁食者26例次，禁食后术前5～10min加服脱气水者6例次，加服胃肠检查用超声助显剂156例次。结果? 胃肠减压的74例次和禁食后服用胃肠检查用超声助显剂的156例次，均顺利完成治疗，禁食后空腹治疗的26例次有8例次（30.8%）、服用脱气水的6例次中有2例次（33.3%）因胃肠气体过多未完成治疗。结论? 术前给予扶正祛邪、疏肝理气、消食化积的中草药，是驱除胃肠道积气的有效方法，为进一步准备做了铺垫。禁食后空腹、服用脱气水者治疗后期胃肠气体过多影响疗效。胃肠减压能将胃肠道气体完全排尽却受操作繁复、患者痛苦的局限而不能广泛使用。服用胃肠检查用超声助显剂驱气便捷、无痛苦、效果肯定，可作为超声治疗胃肠道准备的首选。 ??? 【关键词】? 高强度聚焦超声；胰腺癌；胃肠道准备 ????? 【Abstract】? Objective? To study the key points about a gastrointestinal （GI） preparation for treating a pancreatic cancer with high intensive focused ultrasound （HIFU）.Methods? 45 patients with pancreatic cancer were treated with HIFU for 262 person-times.Before treating,these patients have first taken a Chinese herbal acting as strengthening the body resistance to eliminate pathogenic factors,reliving the depressed liver,sooting the liver and regulating the circulation of qi（气）,promoting digestion and digestant for 3～4 days.In 262 person-times,74 person-times were adopted GI decompression （GID）,5～10 minutes before operation 26 person-times ware adopted simple fast,6 person-times were additionally taken airless water,and 156 person-times were additionally taken ultrasonic developer-aid （UDA） for the use of GI examination.Results? Both 74 person-times adopted GID and 156 person-times taken UDA after fast were successfully completed the treatment.Both 8 person-times among 26 person-times （30.8%） treated after fast and empty stomach,and 2 person-times among 6 person-times taken airless water （33.3%） cant be completed the treatment because of excessive gas in GI.Conclusion? Taking above all the things Chinese herbal before operation is an effective method driving out the pneumatosis in GI.It foreshadows a follow-up and further preparative.Both empty stomach after fast and to take airless water affect the curative effect in later stag