急诊肝动脉栓塞治疗原发性肝癌破裂出血  

Emergency Transcatheter Hepatic Arterial Embolization for Ruptured of Hepatocellular Carcinoma

作　　者：刘海日[1] 殷建林[1] 张大忠[1] 张富强[1] 朱汉洲[1] 

机构地区：[1]江苏省泰州市人民医院介入科,225300

出　　处：《临床放射学杂志》2006年第12期1147-1149,共3页Journal of Clinical Radiology

摘　　要：目的评价肝动脉栓塞（TAE）在原发性肝癌自发性破裂出血治疗中的作用。资料与方法采用Seldinger技术，使用碘化油、明胶海绵作为栓塞剂，对12例肝癌破裂出血患者行TAE。结果12例行TAE后出血均得到完全控制．所有病例均无复发出血及急性肝功能衰竭。1例术后10天获二期外科手术切除，11例定期再行1～4次肝动脉化疗栓塞（TACE）治疗，1年存活率为27．3％。结论TAE是原发性肝癌破裂急诊止血的安全、有效方法。Objective To evaluate the efficacy of transcatheter arterial embolization （TAE） for ruptured hepatocellular carcinoma （HCC）. Materials and Methods 12 patients with ruptured hepatocellular carcinoma were treated by TAE using Seldinger technique, in which gelatin sponge and iodized oil was used as embolus. Results Successful hemostasis was achieved in all patients, there were no recurrent hemorrhage and acute hepatic function failure after the treatment in all cases. 1 patient received a radical operation 10 days after the TAE, 11 patients were treated by TACE for 1 - 4 times, the 1 year survival rate of TACE was 27.3 % . Conclusion TAE is safe and effective method for hemorrhage due to spontaneous rupture of hepatocellular carcinoma.

关 键 词：肝细胞肝癌 肝破裂 栓塞 

分 类 号：R735.7[医药卫生—肿瘤]