急诊肝动脉栓塞治疗肝癌破裂出血  

Emergent transcatheter arterial embolization for ruptured liver cancer with hemorrhage

作　　者：辜斌[1] 魏小英[1] 况圣佳[1] 李小松[1] 赵异才[1] 曾庆娥[1] 

机构地区：[1]南昌大学第一附属医院,330006

出　　处：《介入放射学杂志》2007年第7期489-490,共2页Journal of Interventional Radiology

摘　　要：目的探讨急诊肝动脉栓塞治疗肝癌破裂出血。方法对23例肝癌破裂出血患者采用急诊肝动脉栓塞止血。结果22例患者均得以有效止血;1例患者因供血血管发育走行异常,导管不能达靶血管,转入外科治疗。22例患者均无复发出血及急性肝功能衰竭,9例患者经栓塞术后,再根据病情行多次介入治疗,肿瘤均有不同程度的缩小和坏死。结论急诊肝动脉栓塞是治疗肝癌破裂出血的有效方法,可达到立即止血的目的,同时可为肝癌后续血管内治疗提供途径。Objective To study retrospectively the curative effect of emergent transcatheter arterial embolization（TAE）on ruptured liver cancer with hemorrhage. Methods Twenty-three patients with rupture of liver cancer were emergent treated with TAE for massive hemorrhage. Results Twenty-two patients were treated by TAE effectively with good hemostasis and without recurrence of bleeding as well as liver failure, except one referred for surgery due to anomalous vascular route leading to failure of catheterization. Nine of 22 patients accepted more than one time of TAE according to the curative effect and progress of the disease, but reduction of tumor size or necrosis could be achieved in all these patients. Conclusions Emergent TAE is an effective treatment for ruptured liver cancer with hemorrhage, having good effect of hemostasis and providing the possibility for subsequent treatment.（J Intervent Radiol, 2007, 16： 489-490）

关 键 词：肝癌破裂 肝动脉 栓塞治疗 

分 类 号：R735.7[医药卫生—肿瘤]