肝动脉门静脉药盒系统植入治疗肝脏恶性肿瘤发生堵塞的处理

How to treat the blockage of the port and catheter system via hepatic artery and portal vein for cases with liver malignant tumor

目的探讨肝动脉门静脉药盒系统植入治疗肝脏恶性肿瘤发生堵塞的处理方法。方法385例中晚期原发性肝癌和转移性肝癌患者行介入手术经皮经股动脉肝动脉内,外科手术中肝动脉内或/和门静脉内植入药盒系统405个,进行临床随访,主要对其药盒堵塞的发生情况进行观察并处理。结果药盒系统植入术后的药盒堵塞有17个,发生率为4.20%(17/405),经肝素盐水冲洗药盒或/和高浓度尿激酶药盒推注(部分在X线设备下进行)后复通率为88.24%(15/17)。结论在X线设备下进行肝素盐水冲洗药盒或/和高浓度尿激酶药盒推注药盒是药盒堵塞复通的有效方法。

Objective To investigate the treatment methods for the blockage of the port and catheter system via hepatic artery and portal vein for cases with liver malignant tumor. Methods 385 cases with liver malignant tumor were treated by 405 port and catheter system （PCS） via hepatic artery and portal vein. The blockage of the PCS were recorded and treated. Results 17 PCS blockage were recorded in 405 PCS （4, 20%, 17/405）, 15 PCS blockage were cured by heparin saline and urokinase sometimes guided by X ray instrument. Conclusion PCS blockage can be well cured by heparin saline and urokinase guided by X ray instrument.