摘要
目的回顾性分析原发性肝癌合并肝动脉-门静脉瘘介入治疗方法及临床疗效。方法对38例肝癌合并肝动脉-门静脉瘘患者用聚乙烯醇(PVA)颗粒+无水乙醇栓塞动静脉瘘,经DSA造影了解瘘闭塞情况。结果38例中动静脉瘘消失及明显减少31例,动静脉瘘减少不明显或无效7例。4例消化道出血均于术后1天后停止,14例腹水明显减少。28例TAE碘油沉积良好。结论以PVA+无水乙醇栓塞动静脉瘘安全有效,能使碘油药物更好地沉积于肿瘤内,提高了肝癌介入治疗的效果。
Objective To retrospectively analyses the effect of interventional embolizing for HCC with hepatic arterio- portal shunt （HAPS）. Methods Thirty-eight cases with HAPS were treated by embolizing with PVA and ethanol. Results The shunting disappeared or marked reduced in 31 cases, no change in 7 cases. The bleeding of upper gastrointestine was ceased in 4 cases on the following day after the management. Ascites was markedly reduced in 21 cases. Lodized oil deposition was satisfactory after TAE in 28 cases. Conclusion Embolization of HAPS with PVA and ethanol was safe and effective, and improve the effect of the interventional therapy for HCC.
出处
《中国介入影像与治疗学》
CSCD
2007年第6期448-450,共3页
Chinese Journal of Interventional Imaging and Therapy
关键词
肝肿瘤
动-门静脉瘘
栓塞
治疗性
乙醇
Liver neoplasms
Arterioportal shunt
Embolization, therapeutic
Ethanol
