肝癌经导管动脉栓塞化疗后并发肝脓肿2例  

Liver abscess after transcatheter arterial chemoembolization:two cases report

作　　者：胡知峰 汪国祥[1] 黄新宇[1] 汪和平[1] 王勇[1] HU Zhifeng;WANG Guoxiang;HUANG Xinyu;WANG Heping;WANG Yong(Department of Interventional Medicine,Yijishan Hospital of Wannan Medical College,Wuhu,Anhui 241000,China)

机构地区：[1]皖南医学院弋矶山医院介入科,安徽芜湖241000

出　　处：《安徽医药》2022年第6期1199-1201,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探索肝癌经导管动脉栓塞化疗后并发肝脓肿诊治经验,加强临床医生对肝癌介入前的术前评估、脓肿的处理及不良预后因素的认识。方法回顾性分析2019年3—9月皖南医学院弋矶山医院2例肝癌经导管动脉栓塞化疗后并发肝脓肿病人临床资料及相关文献复习。结果肝癌介入后肝脓肿的形成与多种因素相关,术前评估为高风险,其再次介入后发生感染或肝脓肿的风险更高;同时肝癌介入后周边脓肿治疗后多伴有癌灶进展。结论术前的风险评估、预后因素或危险因素的认识尤为重要;肝癌介入后肝脓肿的形成提示预后不良。Objective To explore the experience in the diagnosis and treatment of liver abscess after transcatheter arterial chemoembolization for liver cancer,so as to improve the understanding of clinicians on preoperative evaluation,management of abscess and adverse prognostic factors of liver cancer before intervention.Methods The clinical data of 2 patients with liver abscess after transcatheter arterial chemoembolization in Yijishan Hospital of Wannan Medical College from March to September 2019 were retrospectively analyzed and relevant literature were reviewed.Results The formation of liver abscess after hepatocellular carcinoma intervention was related to a variety of factors.If the preoperative assessment suggested high risk,the risk of infection or liver abscess would be higher after reintervention.At the same time,the peripheral abscess after interventional treatment of hepatocellular carcinoma was usually accompanied by the progression of carcinoma foci.Conclusion Preoperative risk assessment,prognostic factors or risk factors are very important,and the formation of hepatic abscess after hepatocellular carcinoma intervention may indicate poor prognosis.

关 键 词：肝肿瘤 手术后并发症 肝脓肿 动脉导管 肝动脉 化学栓塞 治疗性 经导管动脉栓塞化疗 

分 类 号：R735.7[医药卫生—肿瘤] R575.4[医药卫生—临床医学]