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目的 评价急诊肝动脉化疗栓塞术治疗肝癌破裂出血的疗效。方法 回顾分析 36例肝癌破裂出血使用不同方法治疗的患者资料 ,其中急诊肝动脉化疗栓塞术 11例 ,保守治疗 7例 ,肝切除术 12例 ,肝动脉结扎 6例。结果 11例肝动脉化疗栓塞术治疗患者全部止血成功 ,无严重并发症 ,术后无复发出血。其 1年生存率与肝切除组基本相似 (P <0 0 5 )而明显高于其他治疗方法组 (P <0 0 5 )。结论 肝动脉化疗栓塞术治疗肝癌破裂出血疗效显著。
Objective To evaluate the efficacy of emergency hepatic arterial chemoembolization in the treatment of ruptured liver cancer. Methods A retrospective analysis of 36 cases of HCC rupture hemorrhage using different methods of treatment of patients, including emergency transcatheter arterial chemoembolization in 11 cases, conservative treatment in 7 cases, hepatectomy in 12 cases, hepatic artery ligation in 6 cases. Results All of the 11 patients undergoing transcatheter arterial chemoembolization had successful hemostasis without any serious complications and no postoperative recurrence of hemorrhage. The 1-year survival rate was similar to that of hepatectomy group (P <0 05) and significantly higher than that of other treatment groups (P 0 05). Conclusion Transcatheter arterial chemoembolization for the treatment of hepatocellular carcinoma with ruptured hemorrhage has obvious curative effect.