【摘要】 目的探讨原发性肝癌破裂出血采用急诊肝动脉化疗栓塞术(TACE)止血的临床价值。方法对8例肝癌破裂出血,急诊行TACE治疗,使用明胶海绵和(或)碘化油混悬乳液行栓塞止血的治疗效果进行分析。结果自发性肝癌破裂出血8例,均为活动性出血,一次介入手术栓塞止血成功7例,有效率为87.5%。1例栓塞术后12小时复发,经抢救无效死亡。1例术后2个月死于肝功能衰竭,2例术后2个月获二期外科手术切除。4例先后接受TACE治疗1～4次。随访6例,6个月内未见复发。结论急诊TACE对肝癌破裂出血止血效果显著,采用介入治疗方法进行止血,不仅微创、安全,且成功率高。更多还原

【Abstract】 Objective To discuss the clinical value of emergency TACE treatment for rupture and bleeding of primary liver cancer.Methods Eight cases of rupture and bleeding of primary liver cancer were treated with emergency TACE with gelatin sponge and/or iodine suspension emulsion oil.The hemostatic effect of treatment was analyzed.Results Eight cases of spontaneous ruptured primary liver cancer with active hemorrhage were treated with emergency TACE,and 7 cases obtained successful hemostasis by single TACE,the effective rate was 87.5%.1 case relapsed and died after TACE for 12 hours,1 case died from liver failure after TACE for two months,2 cases obtained secondary phase of surgical removal after TACE for two months.Four cases accepted TACE treatment for 1~4 times.Six cases were followed up for 6 months and found no recurrence.Conclusion Emergency TACE treatment for rupture and bleeding of primary liver cancer could obtain significantly hemostatic effect,and TACE is minimally invasive,safe with high successful rate.更多还原