肝癌介入治疗严重并发症的研究

Study of severe complications in interventional therapy of liver cancer

目的研究分析肝癌介入治疗出现严重并发症的原因,探讨减小和处理的对策。方法我科于2010年5月至2012年1月共收治500例肝癌患者,筛选出现严重并发症的,予以总结。结果本组严重并发症出现情况如下:肺动脉闭塞1例,肝动脉闭塞20例,剧烈腹痛5例,肺梗死1例,异位栓塞2例,肝脓肠2例,动脉内膜夹层血肿2例,休克1例,肝肾功能受损1例,肝癌破裂4例。结论介入治疗严重并发症的发生比率相对较小,原因有很多方面,各环节应仔细观察并且及时应对,减少误诊,把并发症的发生和危害减少到最小。

Objective Research and analysis reason of severe complications in interventional therapy of liver cancer, reduce and deal with the countermeasures are discussed. Method Our department from May 2010 to January 2012 were treated 500 cases of patients with liver cancer, screening of severe complications, we summarize. Result This serious complication appear as follows： 1 case was pulmonary artery occlusion, 20 cases of hepatic artery occlusion, severe abdominal pain in 5 cases, 1 case of pulmonary infarction, ectopic embolism in 2 cases, intestinal in 2 cases, hepatic artery intimal dissection hematoma in 2 cases, shock in 1 case, liver and kidney function damage in 1 case, Hepatocellular carcinoma rupture in 4 case. Conclusion Interventional treatment for severe complications rate are relatively small, because there are a lot of aspects, each link should be carefully observed and deal with in time, reduce the misdiagnosis and reduce the complications and hazards to a minimum.