查詢結果分析
來源資料
相關文獻
- Reconstruction Using a Pericardial Tube and Ringed Gore-Tex Graft for Malignant Superior Vena Cava Syndrome: Report of Two Cases
- Fibrosing Mediastinitis--A Case Report
- 上腔靜脈症候群
- 腫瘤科急症
- Intraatrial Recurrence of Small Cell Lung Cancer Mimicking Superior Vena Cava Syndrome--A Case Report
- Percutaneous Stenting for Malignant Superior Vena Cava Syndrome--A Case Report and Review of the Literature
- Conservative Treatment in an Infant with Superior Vena Cava Syndrome after Cardiac Surgery
- Transesophageal Findings of Metastatic Cardiac Lymphoma Complicated with Superior Vena Cava Syndrome
- 上腔靜脈症侯群
- 上腔靜脈症候群的原因及處置
頁籤選單縮合
題名 | Reconstruction Using a Pericardial Tube and Ringed Gore-Tex Graft for Malignant Superior Vena Cava Syndrome: Report of Two Cases=心包膜管及環狀人工血管在惡性上腔靜脈症候群應用:二例報告 |
---|---|
作者 | 柯博仁; 劉永恆; 謝宏昌; 林萍章; | 書刊名 | 長庚醫學 |
卷期 | 27:3 2004.03[民93.03] |
頁次 | 頁222-227 |
分類號 | 416.264 |
關鍵詞 | 心包膜管; 上腔靜脈症候群; 侵犯性胸腺瘤; Superior vena cava syndrome; Pericardial tube; Invasive thymoma; |
語文 | 英文(English) |
中文摘要 | 上腔靜脈症候群常由上中縱隔腔惡性腫瘤造成。經皮置放的上腔靜脈支架是主要的治療方式,然而並非所有的病人都可以用支架治療。我們報告兩位惡性上腔靜脈症候群病人用心包膜管及環狀人工血管方法成功治療的經驗。兩位病人的臨床症狀包括漸漸式,臉部、頸部及雙手腫脹,一位八人曾經嘗試支架治療三次但是都失敗。於是轉到外科用心包膜管及環狀人工血管並用手術法管理。另一位病人則來不及做支架治療就發生了嚴重的角性症狀,這位病人在手術當中也同時用心包膜管及環狀人工血管並用手術法處理。兩位病人胸部電腦斷層在前縱隔膈腔的部分,可見明顯腫瘤,此腫瘤完全圍繞上腔靜脈,第一位病人靜脈攝影顯式上腔靜脈因腫脹而完全阻塞。患者在接受手術後,其症狀有明顯改善。我們躍顧文狀,關於用心包膜管及環狀人工血管並用手術法的病例很少。我們認為,經由審慎的判斷及評估,此手術對於在惡性上腔靜脈症候群的治療是一項有效的選擇。 |
英文摘要 | Superioir vena cava (SVC) syndrome caused by malignant tumors in the upper mediastinum is not uncommon. Radiation therapy or endovascular treatment with stenting is the first choice of treatment of relieve symptoms. However, surgical treatment may be considered when the less invasive treatment modalities failed. In this report, we present two cases of severe symptomatic SVC syndrome as a result of invasive thymomas, which were treated successfully using a composite graft made by pericardial tube and ringed poytetrafluorethylene (PTFE) graft. Symptoms soon subsided after operation. The patients were symptom free at 8 months and 24 months after the surgical management, respectively. In this report, we also reviewed reports in the literature relating to the surgical management in SVC syndrome. Based on our limited experience in these cases, we think that bypass with pericardial tube could be an effective palliative treatment technique offering durable clinical symptom relief for SVC symptoms caused by malignant tumors in certain cases. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。