摘要
112例（165例次）肝癌病人接受肝动脉碘油化疗栓塞治疗，术后发生胆囊缺血性病损34例（20．61％），其中胆囊梗死26例（15．76％）。主要表现为术后剧烈的上腹痛等栓塞后反应，B超见胆囊急性炎症征像，术后两周CT如发现胆囊壁内碘油存留则为胆囊动脉栓塞及胆囊梗死的可靠证据。本组病人中无一例发生急性腹膜炎，也无需外科手术处理病例。
Transhepatic arterial chemoembolization using lipiodol (LP-TACE) was performed in 112patients (165 times). Following the procedure, ischemic injury to the gallbladder were found in 34 cases(20. 61 %) and among them infarction of the gallbladder were found in 26 cases (15. 76 % ). The main manifestation of that was heavy epigastric pain with an acute inflammatory sign revealed in ultrasonography.The deposit of lipiodol in the wall of the gallbladder two weeks after operation is considered a reliable evidence of the embolization of the gallbladder artery and gallbladder infarction. No acute peritonitis happenednor urgent surgical intervention was required for dealing with the complications in this series.
出处
《临床外科杂志》
1998年第5期270-271,共2页
Journal of Clinical Surgery
关键词
肝动脉栓塞
碘油
胆囊梗死
胆囊炎
Embolization therapeutic Lipiodol Gallbladder infarction Cholecystitis
