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目的:探讨急诊肝动脉栓塞治疗原发性肝癌破裂出血的方法、临床效果、意义。方法:回顾性分析14例原发性肝癌破裂出血患者的病例资料,其中巨块型肝癌10例、结节型3例、小肝癌1例。所有患者均行急诊肝动脉超选择插管,采用弹簧圈、明胶海绵及碘化油等栓塞出血动脉。结果:14例原发性肝癌出血得到完全控制,患者术后生存期均在5个月以上,其中1例半年后死亡,5例随访24个月均存活。结论:急诊肝动脉栓塞治疗原发性肝癌破裂出血疗效肯定,创伤小,是安全、可靠的抢救手段。
Objective: To investigate the method, clinical effect and significance of emergency hepatic artery embolization in the treatment of primary liver cancer with ruptured hemorrhage. Methods: A retrospective analysis of 14 cases of primary liver cancer patients with rupture of bleeding, including 10 cases of massive liver cancer, nodular in 3 cases, 1 case of small liver cancer. All patients underwent emergency transhepatic hepatic artery intubation, using a coil, gelatin sponge and iodized oil embolization bleeding arteries. Results: The bleeding of 14 cases of primary hepatocellular carcinoma was completely controlled. The survival time of the patients was more than 5 months. One case died after six months and the other 5 cases survived after 24 months. Conclusion: Emergency treatment of hepatic arterial embolization for the treatment of primary hepatic carcinoma with ruptured hemorrhage is effective and less traumatic, which is a safe and reliable method of rescue.