论文部分内容阅读
目的 评价经肝动脉化疗栓塞 (TACE)在肝癌破裂出血抢救治疗中的作用。方法 回顾性分析 1995 - 2 0 0 0年进行TACE治疗的 2 3例肝癌破裂出血临床资料。结果 血管造影找到出血部位者有 18例 (78.3% ) ,未找到出血部位者有 5例 ,其中 1例推注碘油后找到出血部位。TACE有效控制出血者有 2 0例 (87.0 % ) ,其中 5例于 1～ 2个月内死于肝功能及全身衰竭 ,平均生存 8.1个月 ,生存 1年以上者 8例 ,最长者 3年 7个月 ,其余 3例止血不满意者于 2 4h内死于失血性休克。结论 TACE是治疗肝癌破裂出血的有效手段 ,尤其对不能外科止血治疗者至关重要
Objective To evaluate the role of transcatheter arterial chemoembolization (TACE) in the rescue treatment of ruptured hepatocellular carcinoma. Methods The clinical data of 23 patients with ruptured hepatocellular carcinoma who underwent TACE treatment from 1995 to 2000 were analyzed retrospectively. Results Eighteen cases (78.3%) were located in the site of angiography, and 5 cases were found in the site of bleeding. Among them, one site found bleeding site after injection of lipiodol. There were 20 cases (87.0%) who effectively controlled bleeding with TACE. Among them, 5 cases died of liver function and systemic failure within 1 to 2 months, and the average survival rate was 8.1 months. 8 cases survived for more than 1 year, and the longest one was 3 In the 7 months of the year, the remaining 3 patients with unsatisfied hemostasis died of hemorrhagic shock within 24 hours. Conclusion TACE is an effective method for the treatment of ruptured hepatocellular carcinoma, especially for those who cannot be treated surgically.