经肝动脉介入治疗并发胆囊坏死(附3例报告)

Gallbladder Necrosis After Transcatheter Hepatic Arterial Therapy(3 Cases Report)

目的探讨经肝动脉介入治疗并发胆囊坏死的发生原因和防治措施。方法报告3例经肝动介入治疗并发胆囊坏死的病例,均经手术病理证实。并结合文献资料分析这一并发症发生原因,及治疗措施。结果近几年来我们共做经肝动脉介入治疗700余例次,并胆囊坏死3例(0.4%)。经肝介入治疗并发胆囊坏死是一常见并发症,其发生原因是多方面的。插管困难,反复操作是该并发症发生的主要原因。结论胆囊坏死是经肝动脉介入治疗比较常见的严重并发症之一,在医疗工作中应引起足够的重视,使这一并发症的发生率降至最低限度。

Objective To evaluate the hepatic artery stenting gallbladder complicated with necrosis of the causes and control measures.Methods report 3 cases of hepatic arteriovenous interventional treatment of cases complicated by gallbladder necrosis,were confirmed by surgery and pathology.Combined with literature analysis of the causes of complications,and treatment measures.Results In recent years we have done through the hepatic artery interventional therapy for more than 700 cases of times,and gallbladder necrosis in 3 cases（0.4%）.Transcatheter interventional therapy of complicated gallbladder necrosis is a common complication that occurs for many reasons.Difficult intubation,repeated operation is the main reason for the complications.Conclusion Gallbladder necrosis after hepatic artery interventional therapy,one of the more common serious complications in the medical work should arouse enough attention,so that the incidence of complications to a minimum.