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目的探讨肝癌肝动脉化疗栓塞(TACE)术中肝动脉及其分支损伤原因及其预防、处理。资料与方法2007年5月至2007年7月行肝TACE术患者164例,观察并分析术中肝动脉及其分支损伤情况。结果164例中发生血管损伤者57例(34.76%),其中47例(28.66%)发生血管痉挛,8例(4.88%)发生血管穿孔,2例(1.22%)发生内膜撕裂。结论肝癌TACE血管损伤发生与术者操作、导管头位置、患者血管条件有关,应根据不同情况积极预防、处理。
Objective To investigate the causes of injury and prevention and treatment of hepatic artery and its branches during hepatic arterial chemoembolization (TACE). Materials and Methods From May 2007 to July 2007, 164 patients underwent hepatic TACE. The injury of hepatic artery and its branches during operation were observed and analyzed. Results Of 164 cases, 57 cases (34.76%) had vascular injury, of which 47 cases (28.66%) had vasospasm, 8 cases (4.88%) had vascular perforation and 2 cases (1.22%) had intimal tear. Conclusions The occurrence of TACE vascular injury in HCC is related to the operation of the surgeon, the location of the catheter tip, and the vascular condition of the patient. Active prevention and treatment should be taken according to different situations.