消化道肿瘤肝转移瘤介入治疗的并发症及防治措施

The Complication and Prevention of Interventional Therapy of Liver Metastases from Cancer of the Alimentary Tract

目的:探讨减少消化道肿瘤肝转移瘤介入治疗的并发症的方法及出现后对症处理措施。方法:在教科书常规介入指导下,进行规范性的术前准备、术中操作及术后处理。采用改良Seldinger法经股动脉插管,以灌注化疗及化疗栓塞进行治疗,化疗药物依病理分型而定,栓塞剂采用超液化碘油混以一种化疗药物制成。尽可能应用超微导管技术。结果:全组112例共行442次介入治疗,总有效率达57.3%。并发症以栓塞后综和征为主,部分出现胆囊炎、胃十二指肠病变,少数出现穿刺部位血肿等,未出现非靶器官误栓塞。结论:应用超微导管技术的患者,并发症发生率降低,规范性操作能减少并发症,及时对症处理能改善患者生活质量。

Objective： To investigate decreasing complication and prevention of interventional therapy in the treatment of liver metastases from alimentary tract cancer, Methods：A With the means of improvement Seldinger femoral artery cannula, it was performed with infusion chemotherapy, chemoembolization and the of technology ultraselection micmtubute. The choice of chemotherapeutics was depend on the type of pathology. Results：A total of 112 patients with unresectable liver metastases from alimentary tract cancer was treated 442 times by interventional therapy. The effective power was 57.3%, The complication was included nausea, disgorging, febrile, abdominal, Liver function damage. Conclusions：The technology uhraselection microtubule and standard therapy is important to the result of therapy and can decrease complication and raise living quality.