肝癌破裂出血的肝动脉栓塞治疗

Liver Cancer Breakage Hemorrhage Hepatic Artery Embolism Treats

目的探讨肝癌破裂出血经肝动脉栓塞治疗的方法。方法对36例肝癌破裂出血患者采用急诊肝动脉栓塞止血治疗。结果31例患者均得以有效止血;5例患者因供血血管发育走行异常,导管不能达靶血管,转入外科治疗。31例患者均无复发出血及急性肝功能衰竭,12例患者经栓塞术后,再根据病情行多次介入治疗,肿瘤均有不同程度的缩小和坏死。结论急诊肝动脉栓塞是治疗肝癌破裂出血的有效方法,可达到立即止血的目的,同时可为肝癌后续血管内治疗提供途径。

Objective The explore the treatment of liver cancer breakage hemorrhage by hepatic artery embolism. Methods Thirty-six patients diagnosed as rupture of liver cancer with mass hemorrhage and treated with TAE were included in this study. Results Thity-one patients were treated effectively with good hemostasis and without recurrence of bleeding and no liver failure after TAE was observed in these patients. Twelve of 31 patients accepted more than one time of TAE according to curative effect and progress of the disease. Reduction of the tumor size or necrosis of the lesion could be observed in all the patients. In this study only five patient failed to hemostasis as the anatomic abnormality of the abdominal artery resulting in difficulty in localization of the catheter in the liver lesion, and the patients were treated surgically thereafter. Conclusion Emergent TAE is an effective treatment on ruptured liver cancer with hemorrhage. It not only has good effect of hemostasis, but also provides the possibility of subsequent treatment for the disease.