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目的探讨肝脏肿瘤介入治疗术中术后所出现的并发症,提出预防和避免并发症的措施。方法通过对1997年4月至2004年4月,完成的586例肝脏肿瘤1 054次。介入治疗病历资料进行回顾性分析。从临床、病理、血管解剖和变异、CT、DSA表现等多方面探讨发病原因。结果586例1 054次介入治疗术中和术后共出现并发症45例次(45/1 054)。结论肝癌行膈下动脉栓塞可导致截瘫,急性左心衰肺水肿,肝肾综合征等严重并发症。大多数并发症是可能预防的。
Objective To investigate the postoperative complications of liver tumor interventional therapy and put forward the measures to prevent and avoid complications. Methods A total of 586 liver tumors were completed 1 054 times from April 1997 to April 2004. Interventional treatment of medical records for retrospective analysis. From the clinical, pathological, vascular anatomy and variation, CT, DSA performance and other aspects of the pathogenesis. Results A total of 456 cases (45/1 054) of complications occurred in 586 cases during 1 054 interventional procedures. CONCLUSIONS: Sub-phrenic arterial embolization of liver cancer can lead to serious complications such as paraplegia, pulmonary edema of acute left heart failure and hepatorenal syndrome. Most complications are preventable.