肝癌肝动脉化疗栓塞并发症

Analysis of Complications in Hepatic Artery Infusion and Embolization for Hepatic Cancer

目的：讨论肝癌介入治疗的共发症及其原因和处理方法。材料与方法：152例肝癌行320次肝动脉灌注化疗和栓塞。结果：出现并发症15例，其中肝脓肿1例，肝破裂2例，急性肝功能衰竭2例，上消化道大出血4例，肝动脉内膜损伤2例，异位栓塞3例，肝动一静脉疾致呼吸暂停1例。结论：肝癌动脉化疗栓塞是目前重要而有效的治疗方法，认真选择适应症、规范手术操作及合理的术后处理是避免并发症发生的关键。

篜urpase: This study was to investigate the comp1ications and its therapy in hepatic artery infusion and embolization for hepatic cancer. Materials and Methods: 32O times of transcatheter arteria1 infusion - chemotherapy and/or embolizations were per- formed on 152 patients. Results: l5 cases caused serious comp1ications: 1 case was hepatic abscess, 2 case were rupture of liver, 2 cas- es were hepatic failure, 4 cases arose massive hemorrhage to due to rupture of esophageal varices, Hepatic arterial tunica intima were damaged 2 cases. 3 cases were misled to other artery embolization, 1 case happened breathe temporary stop for hepatic artery - vein fis- tule. Conclusion: TAE (Transcatheter arterial embolization) is considered as an effective rnethod for hepatic cancer. It is essential to avoid the complications that selection of indication, improvment of operative ski1l and postoperative treatment shou1d be carried out.