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目的探讨原发性肝癌患者行肝动脉化疗栓塞治疗后,发生肝衰竭的原因。方法对237例原发性肝癌TACE治疗后患者进行多因素回顾分析总结。结果在237例行TACE治疗原发性肝癌患者中,有28例发生肝脏功能衰竭。肝衰竭的发生与肝硬化、门静脉癌栓、手术方式、碘化油用量、乙型肝炎病毒DNA数量等因素有关。结论多因素分析更准确判断原发性肝癌患者行TACE治疗的预后。
Objective To investigate the causes of liver failure in patients with primary liver cancer after transcatheter arterial chemoembolization. Methods 237 cases of primary hepatocellular carcinoma after TACE treatment were analyzed retrospectively. Results Totally 237 cases of primary hepatocellular carcinoma treated with TACE had hepatic failure in 28 cases. The occurrence of liver failure and cirrhosis, portal vein tumor embolism, surgical methods, the amount of iodized oil, hepatitis B virus DNA and other factors. Conclusions Multivariate analysis can accurately predict the prognosis of TACE patients with primary liver cancer.