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作者报告一例肝细胞癌,经肝动脉栓塞后并发了气肿性胆囊炎。患者经超声发现肝肿瘤,又经肝动脉造影证实肿瘤位于肝右叶前上部,采取肝动脉栓塞术治疗。用20mg丝裂霉素C与1～3mm的明胶海绵颗粒混合后注入来自肠系膜上动脉的肝右动脉分枝。术后发烧,3天后CT检查发现胆囊内和胆囊壁有积气,肿瘤为低密度影像,但是肿瘤内无明显气体。一月后腹平片和超声随访胆囊内仍有气体存在。50天后CT复查,胆囊萎缩,其内仍有气体存在。2月后气体完全消失。肝肿瘤治疗性栓塞效
The authors reported a case of hepatocellular carcinoma with emphysematous cholecystitis after hepatic artery embolization. Hepatic tumors were found by ultrasound, and hepatic artery angiography confirmed that the tumor was located in the upper part of the right lobe of the liver and hepatic artery embolization was performed. The right hepatic artery branching from the superior mesenteric artery was injected with 20 mg of mitomycin C mixed with 1-3 mm gelatin sponge particles. After the operation, there was a fever after 3 days. CT examination revealed gas accumulation in the gallbladder and gallbladder wall. The tumor had low-density images, but there was no obvious gas in the tumor. After January, there was still gas in the gallbladder after abdominal plain film and ultrasound. After 50 days of CT review, the gallbladder was atrophied and gas was still present. Gas completely disappeared after 2 months. Liver tumor therapeutic embolization