原发性肝癌伴动静脉瘘的介入栓塞治疗  

Interventional embolization of hepatocellular carcinoma with arteriovenous fistula

作　　者：黄永东[1] 张振岳[1] 毛健[1] 皇甫风华[1] 蔡晓晴[1] 

机构地区：[1]江苏省启东市人民医院,226200

出　　处：《现代消化及介入诊疗》2015年第1期12-15,共4页Modern Interventional Diagnosis and Treatment in Gastroenterology

摘　　要：目的既往原发性肝癌伴肝动-静脉瘘(尤其是中央型动门脉瘘和/或肝动脉-肝静脉瘘)是介入治疗的禁忌证,本研究探讨原发性肝癌伴肝动-静脉瘘栓塞瘘口后行肝动脉化疗栓塞(TACE)术的疗效。方法选取26例原发性肝癌合并动-静脉瘘病例,通过数字减影平板造影(DSA)明确动-静脉瘘的分型及分流情况,根据瘘口选用不同的栓塞材料进行栓塞,观察疗效。结果本组26例原发性肝癌合并动-静脉瘘患者均通过栓塞治疗后封闭了瘘口,行TACE术。结论选用合适的栓塞材料栓塞原发性肝癌伴动静脉瘘瘘口后行TACE术是一种安全、有效的治疗方法。Objetive Primary liver carcinoma accompanied with hepatic arteriovenous fistula （especially the central artery portal vein fistula and / or hepatic artery hepatic vein fistula） is considered as contraindication of interventional treatment due to the complication of acute liver failure or embolic material into the pulmonary circulation resulting in pulmonary embolism. Since the application of advanced technology and panel DSA to identify hepatic arteriovenous fistula and the selection of materials suitable for embolisation of the fistula mouth, damage due to ectopic embolisation on normal liver tissue is redused. Aim of this study is to explore whether the curative effect of interventional therapy by embolisation of the fistula was improved after TACE operation. Methods Twenty six primary hepatoceUular carcinoma patients with arteriovenous fistula were checked the arteriovenous fistula type and diversion through DSA, and embolisafion was performed using proper material. Results Arteriovenous fistulas were successfully closed in all patients, the tumor growth was controlled, the quality of life was improved. Conclusion Choose appropriate embolic material embolism arteri- ovenous fistula, is a safe and effective treatment method.

关 键 词：原发性肝癌 动静脉瘘 栓塞治疗 

分 类 号：R581.1[医药卫生—内分泌]