摘要
目的:评价急诊肝动脉栓塞术(Transcatheter arterial embolization,TAE)治疗肝癌破裂出血的疗效。方法:采用Seldinger技术穿刺,使用明胶海绵、碘化油对14例肝癌破裂出血患者行肝动脉栓塞术,其中4例同时加用表阿霉素行栓塞化疗。结果:14例肝癌破裂出血患者全部止血成功,无严重并发症,术后无复发出血。其中2例术后2个月死于肝功能衰竭,其余12例生存4~25(平均7.6)个月。结论:TAE是治疗肝癌破裂出血的有效方法。
Objective: To evaluate the clinical efficacy of transeatheter hepatic artery embolization (TAE) for treating acute rupture of hepatoma. Methods: Using seldinger technique, 14 patients with ruptured hepatoeellular carcinoma were performed by TAE, four of them were injected pharmorubiein by transeatheter hepatic artery ehemoembolization (TACE). Results: The hemostasis in all the patients treated by TAE were successful; no serious complications related to embolization were encountered. Two patients succumbed to hepatic failure two months after operation,the other 12 patients have been living 4 - 25 months,the average of survival time is 7.6 months. Conclusion:The TAE is effective technique to stop bleeding in spontaneously rupture of hepatoeellular eareinoma.
出处
《解剖与临床》
2006年第4期256-258,共3页
Anatomy and Clinics
关键词
肝癌
出血
栓塞
Hepatoma
Bleeding
Embolization