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分析了肝癌介入性化疗栓塞术后的常见并发症,正确的选择适应证,提高肝癌的介入性治疗效果。方法69例原发性肝癌,用Seldinger技术经一侧股动脉选择或超选择性行肝总动脉或肝固有动脉化疗栓塞205例次。结果发生栓塞后综合征174例次,消化道出血8例次,穿刺点出血17例次,肝功能衰竭3例次,腹膜炎1例次。结论介入性治疗中晚期肝癌是最有效方法之一,严格选择适应证,尽量减少并发症的发生是提高肝癌介入性治疗效果的关键
The common complications after interventional chemoembolization for liver cancer were analyzed, the indications were correctly selected, and the interventional treatment effect of liver cancer was improved. Methods Sixty-nine patients with primary hepatocellular carcinoma underwent selective or superselective hepatic arterial or hepatic proper arterial chemoembolization using Seldinger technique. Results There were 174 cases of postembolization syndrome, 8 cases of digestive tract hemorrhage, 17 cases of puncture site hemorrhage, 3 cases of hepatic failure, and 1 case of peritonitis. Conclusion Interventional treatment of advanced hepatocellular carcinoma is one of the most effective methods. Strictly selecting indications, minimizing the occurrence of complications is the key to improve interventional treatment of liver cancer.