[1]杨秀兰,杨继金,田建明,等.肝动脉化疗栓塞术中胆囊动脉及胆囊显影的意义[J].介入放射学杂志,2008,(04):251.
 YANG Xiulan,YANG Jijin,TIAN Jianming,et al.The significance of cystic artery demonstration and cholecystic staining on hepatic arteriography before TACE[J].journal interventional radiology,2008,(04):251.
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肝动脉化疗栓塞术中胆囊动脉及胆囊显影的意义()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年04期
页码:
251
栏目:
血管介入
出版日期:
2008-04-15

文章信息/Info

Title:
The significance of cystic artery demonstration and cholecystic staining on hepatic arteriography before TACE
作者:
杨秀兰杨继金田建明
610031成都市第三人民医院消化内科(杨秀兰);上海第二军医大学长海医院放射科介入病房(杨继金、田建明、杨朝爱、王卫星、张火俊、江旭)。
Author(s):
YANG Xiu-lanYANG Ji-jinTIAN Jian-mingYANG Cao-aiWANG Wei-xingZHANG Huo-junJIANG Xu
Department of Digest,Chengdu3rd People's Hospital,Chengdu610031,China
关键词:
肝肿瘤肝动脉栓塞化疗并发症胆囊炎
分类号:
R735.7;R657.41
文献标志码:
A
摘要:
目的探讨肝动脉化疗栓塞术中胆囊动脉及胆囊显影与术后胆囊炎的关系。方法回顾性分析183例肝肿瘤患者接受肝动脉化疗栓塞术动脉造影时出现胆囊动脉和(或)胆囊显影的临床资料,对出现术后胆囊炎的48例所采用的治疗方式、次数与发生胆囊炎的关系进行相关性分析。结果48例患者(肝癌42例,肝血管瘤6例)TACE后并发胆囊炎(26.2%),42例并发胆囊炎的肝癌患者化疗方案为:FUDR(或5-FU)+HCPT+BLM11例,FUDR(或5-FU)+HCPT+DDP(或CP)9例,FUDR+HCPT+BLM+DDP(或CP)6例,FUDR+HCPT+EPI 7例,FUDR+MMC+CP4例,含草酸铂(L-OHP)方案5例(其中2例发生2次以上胆囊炎)。6例并发胆囊炎的血管瘤患者治疗方案均为BLM粉8~24mg 溶于超液化碘油5~10ml 内栓塞。结论肝TACE时胆囊动脉及胆囊显影者术后发生胆囊炎的概率增高,化疗、栓塞方案(栓塞剂)含DDP、BLM及L-OHP粉剂的发生率更高,越过胆囊动脉后进行化疗栓塞可降低其发生。

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备注/Memo

备注/Memo:
收稿日期:2007-07-06
更新日期/Last Update: 2008-04-15