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作者分析了对5年间33例因肝细胞癌(HCC)自发破裂而行紧急动脉导管栓塞的患者,其中男31例,女2例,年龄38～77岁(平均56岁)。9例经组织学确诊,其余为血清AFP升高或有血管造影表现而确诊。23例有乙肝病毒性肝硬化,3例为酒精性肝硬化,其它患者的肝硬化病因不明。22例血清AFP高于20ng/ml。所有患者均经腹穿发现血性腹水而肯定为HCC破裂。9例破裂发生在因不能手术而行动脉导管栓塞化疗后,1例为右肝部分切除左肝再发而
The authors analyzed 33 patients with acute arterial catheter embolization due to spontaneous rupture of hepatocellular carcinoma (HCC) in 5 years, including 31 males and 2 females, aged 38 to 77 years (average 56 years). Nine cases were confirmed by histology and the rest were diagnosed with elevated serum AFP or angiographic findings. There were 23 cases of hepatitis B cirrhosis and 3 cases of alcoholic cirrhosis. The etiology of cirrhosis in other patients was unknown. 22 cases of serum AFP were higher than 20ng/ml. All patients were found to have hemorrhagic ascites through abdominal dissection and certainly ruptured HCC. Nine cases of rupture occurred after arterial catheter embolization due to inoperable surgery. One case was resection of the left liver after partial right hepatectomy.