肝癌经肝动脉栓塞术后癌灶化脓性感染的诊断和治疗

Diagnosis and Treatment of HepatoceIlular Carcinoma Treated with TAE and Complicated with Suppurative Infection

报道了７例肝癌经肝动脉栓塞术（ＴＡＥ）后合并感染、脓肿的病例。发生此一严重并发症的机率约为１．４％（７／４９５）。诊断主要依靠临床症状及ＣＴ、Ｂ超影像。在ＣＴ导向下的有效引流和对残癌组织用无水酒精冲洗则是最主要的治疗方法。其转归大概可分为：（１）脓肿痊愈、肿瘤姑息；（２）脓肿痊愈，活癌子灶仍存；（３）死于无法控制的感染。

Seven cases of hepatocellular carcinoma(HCC) treated with TAE and complicated with suppurative infection were reported.The incidence of this serious complication was 1.4%(7/495).Diagnosis depended on the clinical manifestations,CT and US findings. Effective drainage and sterilization of remaining viable tumor with ethanol were the treatment of chOice.The outcome of these cases were discussed in this article.