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目的:讨论肝癌介入治疗的共发症及其原因和处理方法。材料与方法:152例肝癌行320次肝动脉灌注化疗和栓塞。结果:出现并发症15例,其中肝脓肿1例,肝破裂2例,急性肝功能衰竭2例,上消化道大出血4例,肝动脉内膜损伤2例,异位栓塞3例,肝动一静脉疾致呼吸暂停1例。结论:肝癌动脉化疗栓塞是目前重要而有效的治疗方法,认真选择适应症、规范手术操作及合理的术后处理是避免并发症发生的关键。
Objective: To discuss the co-occurrence of liver cancer intervention and its causes and treatment. Materials and Methods: Hepatic arterial infusion chemotherapy and embolization were performed in 152 cases of hepatocellular carcinoma. Results: There were 15 cases of complications, including 1 liver abscess, 2 cases of hepatic rupture, 2 cases of acute hepatic failure, 4 cases of upper gastrointestinal hemorrhage, 2 cases of hepatic artery intima injury, 3 cases of heterotopic embolization, and 1 case of hepatic artery. A case of apnea caused by venous disease in 1 case. Conclusion: Transcatheter arterial chemoembolization in hepatocellular carcinoma is currently an important and effective treatment. Careful selection of indications, standardization of surgical procedures and reasonable postoperative management are the key to avoid complications.