【摘要】 目的:评价急诊肝动脉栓塞术((Transcatheter arterial embolization,TAE)治疗肝癌破裂出血的疗效。方法:采用Seldinger技术穿刺,使用明胶海绵、碘化油对14例肝癌破裂出血患者行肝动脉栓塞术,其中4例同时加用表阿霉素行栓塞化疗。结果:14例肝癌破裂出血患者全部止血成功,无严重并发症,术后无复发出血。其中2例术后2个月死于肝功能衰竭,其余12例生存4~25(平均7.6)个月。结论:TAE是治疗肝癌破裂出血的有效方法。更多还原

【Abstract】 Objective:To evaluate the clinical efficacy of transcatheter hepatic artery embolization (TAE) for treating acute rupture of hepatoma.Methods:Using seldinger technique,14 patients with ruptured hepatocellular carcinoma were performed by TAE,four of them were injected pharmorubicin by transcatheter hepatic artery chemoembolization (TACE).Results:The hemostasis in all the patients treated by TAE were successful;no serious complications related to embolization were encountered.Two patients succumbed to hepatic failure two months after operation,the other 12 patients have been living 4～25 months,the average of survival time is 7.6 months.Conclusion:The TAE is effective technique to stop bleeding in spontaneously rupture of hepatocellular carcinoma.更多还原