摘要
目的探讨急诊肝动脉栓塞治疗原发性肝癌破裂出血的效果。方法收集2007年9月～2010年9月北京军区总医院实施急诊肝动脉栓塞治疗原发性肝癌破裂出血患者36例为观察组,另随机抽取北京军区总医院2007年9月前实施保守治疗的原发性肝癌破裂出血患者26例为对照组。比较两组即时止血率、输血量、肝功能恢复率及生存率。结果观察组即时止血率、输血量和肝功能恢复率均显著优于对照组,差异均有高度统计学意义(均P<0.01)。观察组治疗后6、12个月时生存率均显著高于对照组,差异均有高度统计学意义(均P<0.01)。结论与保守治疗相比,急诊肝动脉栓塞具有止血成功率高、输血量少、肝功能恢复快及病死率低的优点,值得临床推广应用。
Objective To investigate the effect of emergency hepatic arterial embolization treatment for rupture hemorrhage of primary liver cancer.Methods 36 cases of rupture hemorrhage of primary liver cancer patients treated with emergency hepatic arterial embolization in Beijing military region general hospital from September 2007 to September 2010 were selected,another randomly selected 26 cases of rupture hemorrhage of primary liver cancer patients with conservative treatment befor September 2007 were chosen as the control group.The immediate hemostasis rate,amount of blood transfusion,liver function recovery rate and survival rate of two groups were compared.Rseults The immediately hemostasis rate,amount of blood transfusion and liver function recovery rate of observation group were significantly better than the control group,the differences were all statistically significant（all P 0.01）;the survival rates of observation group were significantly higher than those of control group at the time of 6th and 12th month after treatment,the differences were all statistically significant（all P 0.01）.Conclusion Compared with conservative treatment,emergency hepatic arterial embolization has a higher successful hemostasis rate and less blood transfusion,and with the advantages of faster liver function recovery rate and little mortality,it is worthy of clinical application.
出处
《中国医药导报》
CAS
2012年第27期62-63,共2页
China Medical Herald
基金
国家自然科学基金(项目编号:81071896)
关键词
急诊肝动脉栓塞
原发性肝癌
破裂出血
Emergency hepatic arterial embolization
Primary liver cancer
Rupture hemorrhage
