摘要
目的研究原发性肝癌自发性破裂出血介入动脉栓塞治疗的方法。方法回顾性分析对16例肝癌破裂出血患者采用急诊介入栓塞止血。结果本组16例患者均得以有效止血。3例门静脉部分或完全阻塞患者经肝动脉栓塞(TAE)治疗后未出现肝功能衰竭。3例患者在栓塞术后3～7天内成功施行肝肿瘤切除术。13例患者明胶海绵栓塞术后,根据病情多次行介入治疗,肿瘤均有不同程度的缩小和坏死。结论TAE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经。
Purpose： To summarize the experiences of nterventional treatment on spontaneous rupture and bleeding of liver carcinoma. Methods： Emergency embolization treatment on 16 patients with spontaneous rupture and bleeding of primary liver cancer were analyzed retrospectively. Results： Hemorrhage was stopped effectively in all 16 cases. There were no recurrent hemorrhage and acute hepatic function failure after the treatment in the rest of the cases. 3 to 7 days after embolization,hepatectomy was performed successfully in 3 patients and none of them died. Repeated interventional embolic treatments were performed according to patients＇ conditions in the other 13 cases, and there were regression and necrosis in carcinomas to different degrees. Conclusions： TAE is an effective method of therapy for spontaneous rupture and bleeding of primary liver carcinoma because of its good hemostatic effect.
出处
《当代医学》
2009年第23期402-403,共2页
Contemporary Medicine
关键词
肝癌
自发性破裂出血
介入治疗
liver cancer
spontaneous rupture
bleeding
Interventional treatment
