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肝动脉碘油化疗栓塞术与胆囊缺血性病损

Transhepatic arterial chemoembolization using lipiodol and ischemic injury to the gallbladder

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【作者】 郑锦锋孙枫林余小舫窦永充

【Author】 Zheng Jinfeng; Sun Fenglin; Yu Xiaofang; et al. (Department of General Surgery, Shenzhen People’s Hospital 518020)

【机构】 深圳市人民医院普外科!518020深圳市人民医院介入放射科!518020

【摘要】 112例(165例次)肝癌病人接受肝动脉碘油化疗栓塞治疗,术后发生胆囊缺血性病损34例(20.61%),其中胆囊梗死26例(15.76%)。主要表现为术后剧烈的上腹痛等栓塞后反应,B超见胆囊急性炎症征像,术后两周CT如发现胆囊壁内碘油存留则为胆囊动脉栓塞及胆囊梗死的可靠证据。本组病人中无一例发生急性腹膜炎,也无需外科手术处理病例。

【Abstract】 Transhepatic arterial chemoembolization using lipiodol (LP-TACE) was performed in 112patients (165 times). Following the procedure, ischemic injury to the gallbladder were found in 34 cases(20. 61 %) and among them infarction of the gallbladder were found in 26 cases (15. 76 % ). The main manifestation of that was heavy epigastric pain with an acute inflammatory sign revealed in ultrasonography.The deposit of lipiodol in the wall of the gallbladder two weeks after operation is considered a reliable evidence of the embolization of the gallbladder artery and gallbladder infarction. No acute peritonitis happenednor urgent surgical intervention was required for dealing with the complications in this series.

  • 【文献出处】 临床外科杂志 ,JOURNAL OF CLINICAL SURGERY , 编辑部邮箱 ,1998年05期
  • 【分类号】R735.7
  • 【被引频次】1
  • 【下载频次】21
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