【摘要】 目的:探讨肝动脉栓塞治疗肝癌肝动脉-门静脉瘘(APF)所致大量腹腔积液的临床应用价值。方法:并发高流量APF和大量腹腔积液的肝癌患者9例,以明胶海绵颗粒栓塞载瘘动脉,消除或减少APF,用碘化油尽量栓塞肝癌病灶。结果:APF消失7例,少量残留2例;门静脉血流方向全部由逆肝转为向肝;肝癌病灶内碘化油沉积良好6例;术后2周内腹腔积液完全消失5例,少量残余4例;2周后肝功复查,5例肝功能原有明显损害者全部明显改善;全部病例原有腹胀、腹痛、厌食、乏力症状不同程度缓解。结论:对肝癌并高流量APF所致腹腔积液,动脉栓塞治疗简单、安全、有效。更多还原

【Abstract】 Objective:To evaluate hepatic artery embolization(HAE) for massive hydroperitoneum induced by hepatocellular carcinoma(HCC) and arterioportal fistula(APF).Methods:Nine patients with HCC and APF and massive hydroperitoneum were treated with HAE with 2mm×2mm spongia gelatinosa particles.Arterioportal shunt were diminished or eliminated.Results:After the procedure,APF eliminated in 7 cases and diminished subtotally in 2 cases,the potal venous blood which flowed inversely before embolization all flowed toward liver again,iodized oil settled in HCC ideally in 6 cases.In 2 weeks after embolization,ascites eliminated in 5 cases and diminished subtotally in 4 cases.2 weeks after embolization,examination showed that five patients liver function which damaged severely before embolization all improved obviously.All abdominal distension,abdominal pain,anorexia and lassitude relieved more or less.Conclusion:HAE is a simple,safe and effective treatment for massive ascites induced by HCC and high-flow APF.更多还原