[1]赵广生,徐克,梁松年,等.原发性肝癌TACE术后严重并发症原因及预防[J].介入放射学杂志,2008,(11):773.
 ZHAO Guangsheng,XU Ke,LIANG Songnian,et al.Causes and prevention of serious complication after transcatheter arterial chemoembolization for primary hepatic carcinoma[J].journal interventional radiology,2008,(11):773.
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原发性肝癌TACE术后严重并发症原因及预防()

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

卷:
期数:
2008年11期
页码:
773
栏目:
肿瘤介入
出版日期:
2008-11-15

文章信息/Info

Title:
Causes and prevention of serious complication after transcatheter arterial chemoembolization for primary hepatic carcinoma
作者:
赵广生徐克梁松年
110001沈阳中国医科大学附属第一医院放射科
Author(s):
ZHAO Guang-shengXU Ke LIANG Song-nianSU Hong-yingFENG Bo YANG Fu-ling.
Department of Radiology,First Affiliated Hospital,China Medical University,Shenyang110001,China
关键词:
原发性肝癌肝动脉化疗栓塞术并发症
分类号:
R735.7
文献标志码:
A
摘要:
目的探讨原发性肝癌行经导管肝动脉化疗栓塞术后严重并发症的原因及预防。方法2005年1月-2007年7月,573例原发性肝癌患者行1252次肝动脉化疗栓塞术,术后针对发生的并发症,给予积极治疗,同时结合生化及影像学检查,探讨严重并发症出现的原因及预防措施。结果并发症有上消化道出血3例、急性肝功能衰竭6例(死亡1例)、肺栓塞1例、胆汁瘤2例、胆囊炎4例、胃穿孔并死亡1例。结论经导管肝动脉化疗栓塞术治疗原发性肝癌出现的严重并发症与术前肝功能较差、门静脉高压、化疗栓塞药物剂量过大、药物反流及异位栓塞等有关。重视TACE术时机的选择,采用规范化的介入治疗措施,可以避免或减少严重并发症。

参考文献/References:

[1]Barone M,Ettorre GC,Ladisa R,et al.Transcatheter arterial chemoembolization(TACE)in treatment of hepatocellular carci-noma [J].Hepatogastroenterology,2003,50:183-187.
[2]王建华.呼唤规范化的肝癌介入治疗[J].介入放射学杂志,2007,16:145-147.
[3]Wu JX,Huang JF,Yu ZJ ,et al.Factors related to acute upper gastrointestinal bleeding after transcatheter arterial chemoembo-lization in patients with hepatocellular carcinom[J].Ai Zheng,2002,21:881-884.
[4]Nakamura H,Hashimoto T,Oi H,et al.Iodized Oil in poral vein after artery embolization[J].Radiology,1998,167:415-417.
[5]Jeon SH,Park KS,Kim YH,et al.Incidence and risk factors of acute hepatic failure after transcatheter arterial chemoembo-lization for hepatocellular carcinoma [J].Korean J Gastroenterol,2007,50:176-182.
[6]Kim YJ ,Lee HG,Park JM,et al.Polyvinyl alcohol embolization adjuvant to oily chemoembolization in advanced hepatocellular carcinoma with arterioportal shunts[J].Korean J Radiol,2007,8:311-319.
[7]王茂强,唐文捷,林汉英,等.经导管肝动脉化疗栓塞术后胆管损伤的临床意义[J].介入放射学杂志,2005,14:493-497.
[8]Maeda N,Osuga K,Mikami K,et al.Angiographic evaluation of hepatic arterial damage after transarterial chemoembolization for hepatocellular carcinoma [J].Radiat Med,2008,26:206-212.
[9]Kiely JM,Rilling WS ,Touzios JG,et al.Chemoembolization in patients at high risk:results and complications[J].J Vasc Interv Radiol,2006,17:47-53.
[10]Hsieh CB,Chang HM,Chen TW,et al.Comparison of chemoe-mboliztion,laparoscopic radiofrequency ablation,and conserva-tive treatment for decompensated cirrhotic patients with hepa-tocellular carcinoma [J].World J Gastroenterol,2004,10:505-508.

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备注/Memo

备注/Memo:
收稿日期:2008-06-25
更新日期/Last Update: 2008-11-15