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目的 讨论胆囊切除在肝癌术后经皮肝动脉栓塞化疗中的临床意义。方法 A组 2 0例在初次肝癌切除术中同时切除胆囊 ,B组 5 7例仅作肝癌切除术。比较两组术后经皮肝动脉栓塞化疗术后的副作用。结果 介入术后栓塞综合征 ,两组发生例数分别为发热 ( 7/38)、右上腹痛 ( 2 /19)、腹胀 ( 0 /9)、恶心呕吐 ( 5 /2 6 )、纳差 ( 4 /31)。结论 肝癌切除术中同时切除胆囊 ,有利于降低术后肝动脉栓塞化疗中介入栓塞综合征的发生率 ,减轻其副作用。
Objective To discuss the clinical significance of cholecystectomy in percutaneous transhepatic arterial chemoembolization after liver cancer surgery. Methods A group of 20 cases of primary liver resection in the simultaneous removal of the gallbladder, B group 57 cases only for liver resection. The side effects after percutaneous transhepatic arterial chemoembolization were compared between the two groups. Results The incidence of postoperative embolism syndrome in both groups were fever (7/38), right upper quadrant pain (2/19), bloating (0/9), nausea and vomiting (5/26), anorexia / 31). Conclusions Simultaneous resection of gallbladder during resection of liver cancer is helpful to reduce the incidence of embolism syndrome after hepatic arterial chemoembolization and reduce its side effects.