摘要
目的 探讨肝动脉栓塞后发生胆囊炎的原因。方法 回顾 132例接受肝动脉化疗性栓塞治疗的肝肿瘤患者的临床资料 ,对栓塞前造影中胆囊的显影情况、采用的栓塞方式和术后有无胆囊炎的发生进行相关性分析。结果 术后胆囊炎的病例均发生于在未避开胆囊动脉的情况下采用碘油和明胶海绵微粒双重栓塞的患者 ,术前造影中胆囊明显染色的患者胆囊炎的发生率高于胆囊无明显染色的患者。结论 肝动脉造影中见胆囊明显染色的患者易发生胆囊炎 ,应引起注意。避开胆囊动脉后栓塞可避免此并发症的发生。
Objective To investigate the causes of cholecystitis after hepatic artery embolization.Methods The clinical data of 132 patients with liver tumors received transcatheter chemoembolization therapy were reviewed, including the conditions of cholecyst before embolization and the methods of embolization, related to the occurrence of cholecystitlis after embolization.Results All cholecystitis occurred after the embolization with lipiodol and gelatin sponge particles,the cystic arteries being not avoided,The incidences of cholecystitis in patients with cholecyst stained markedly were higher than those in patients without cholecyst stained markedly.Conclusion Cholecystitis is easy to occur when the cholecyst is shown clearly on the arteriogram before embolization. Super-selective catheterizing technique avoiding cystic artery can prevent this complication effectively. [
出处
《临床内科杂志》
CAS
2000年第6期349-350,共2页
Journal of Clinical Internal Medicine
关键词
肝肿瘤
栓塞
胆囊炎
Liver neoplasms
Embolization
Cholecystitis
