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目的评价经导管动脉栓塞(TAE)抢救肝细胞性肝癌(HCC)自发性破裂出血的方法及效果。方法对15例HCC自发性破裂出血患者行急诊肝动脉插管,联合应用明胶海绵、碘油或加弹簧钢圈作出血动脉的栓塞治疗。结果15例行TAE后出血均得到完全控制。除1例术后第3天死于多器官功能衰竭外,其余14例均存活3月以上,半年生存率达86.7%(13/15),一年生存率为66.7%(10/15)。结论急诊TAE治疗HCC自发性破裂出血疗效好,对不能手术完全切除的肝癌患者,疗效优于其他外科止血方法。
Objective To evaluate the method and effect of transcatheter arterial embolism (TAE) in the treatment of spontaneous rupture of hepatocellular carcinoma (HCC). Methods Fifteen patients with spontaneous rupture of hepatic hemorrhage underwent emergency hepatic artery catheterization. The arterial embolization was performed with gelatin sponge, lipiodol or spring steel coils. Results 15 cases of TAE after bleeding were completely controlled. Except one case died of multiple organ failure on the third postoperative day, the other 14 patients survived for more than 3 months. The half-year survival rate was 86.7% (13/15) and the one-year survival rate was 66.7% (10/15). Conclusions The efficacy of emergency TAE in the treatment of spontaneous rupture of HCC is better than that of other surgical hemostasis in patients with liver cancer who can not be completely resected.