505例肝癌肝动脉化疗栓塞并发症分析  

ANALYSIS OF COMPLICATIONS AFTER TRANSCATHETER HEPATIC ARTERY CHEMOEMBOLIZATION FOR 505 PATIENTS WITH HEPATIC CANCER

作　　者：莫海鹰[1] 王健[1] 周成宇[1] 于新发[1] 

机构地区：[1]佛山市顺德区第一人民医院,广东佛山528300

出　　处：《现代医院》2004年第8期9-10,共2页Modern Hospitals

摘　　要：目的　探讨肝癌介入治疗并发症发生的原因及其处理方法。方法　 5 0 5例肝癌行 115 4次肝动脉化疗栓塞。结果　出现较严重并发症 13例 ,其中肝昏迷 5例 ,上消化道大出血 3例 ,胃穿孔 1例 ,腹主动脉剌破 1例 ,心功能不全 1例 ,胆囊炎 2例。结论　肝癌动脉化疗栓塞术是目前重要而常用的治疗手段 ,把握手术指征、规范手术操作及合理的术后处理是预防并发症的关键。Objective To investigate the complications after transcatheter hepatic artery chemoembolization (TACE ) for patients with hepatic cancer. Materials and Methods 1 154 times of TACE were performed on 505 patients with primary liver cancer (471 cases) or liver metastases (34 cases). The clinical data was analyzed. Results 13 cases caused serious complications: 5 cases were hepatic failure, 3 cases arose upper gastrointestinal hemorrhage, 1 case was perforation of stomach, 1 case occurred chronic heart failure, 1 case was prick of abdominal aorta,2 cases were cholecystitis. Conclusion The main complications of TACE were hepatic failure and upper gastrointestinal hemorrhage. It is essential to avoid the complications that selection of indication, improvement of operative skill and postoperative treatment should be carried out.

关 键 词：肝癌 肝动脉化疗栓塞术 并发症 手术指征 手术操作 术后处理 

分 类 号：R735.7[医药卫生—肿瘤]