摘要
目的 探讨肝动脉化疗栓塞 (HACE)后正常肝实质并发脓肿的原因及治疗。方法 6例肝癌患者经HACE术后 ,正常肝实质内形成脓肿。明确诊断后 ,在B超引导下行经皮穿刺脓肿引流和对脓腔进行抗菌素灌洗。结果 4例患者脓肿愈合 ,2例患者脓腔明显缩小。结论 分析肝内脓肿形成的主要原因为 :(1)胆道损伤 ;(2 )门静脉内癌栓形成 ;(3)胆囊动脉及胆道周围动脉丛的栓塞。
Objective To study the causes and treatment of abscess formation in the liver parenchyma after HACE. Methods Six cases of liver abscess formation after HACE were reported. Each of them was percutaneously drained under ultrasound guidance and flushed with sensitive antibiotic every day. Results 4 abscesses were completely cured, the other 2 decreased remarkably in size.Conclusions The main causes of liver abscess after HACE were the damage of biliary tract, cancer embolus in the portal vein and embolization of the gallbladder artery. Effective drainage and flush with sensitive antibiotic were the treatment of choice.
出处
《介入放射学杂志》
CSCD
2001年第1期24-26,共3页
Journal of Interventional Radiology
关键词
肝脓肿
肝癌
引流
HACE
治疗
Liver abscess
Hepatic carcinoma
Drainage
HACE
