肝细胞癌TACE术后严重并发症分析

被引:31
作者
崔艳峰
祖茂衡
徐浩
顾玉明
李国均
张庆桥
魏宁
机构
[1] 徐州医学院附属医院介入科
关键词
肝细胞癌; 经导管动脉化疗栓塞术; 并发症;
D O I
10.13929/j.1672-8475.2005.01.009
中图分类号
R735.7 [肝肿瘤];
学科分类号
摘要
目的 评价经导管肝动脉化疗栓塞术 (TACE)治疗肝细胞癌 (HCC)的严重并发症。方法 回顾分析 5 5 6例原发性肝癌患者 10 0 0次TACE术后出现的近期严重并发症。结果 本组TACE包括上消化道大出血 3次 ( 0 .3 % ) ,肝功能衰竭 2 6例 ( 2 .6% ) ,碘油肺栓塞 5例 ( 0 .5 % ) ,碘油脑栓塞 2例 ( 0 .2 % )及肝脓肿 2例 ( 0 .2 % )。结论 肝癌TACE术后严重并发症直接影响到病人的预后 ,应重视并预防其发生 ,给予适当处理
引用
收藏
页码:31 / 33
页数:3
相关论文
共 13 条
[1]  
Enzyme analysis of the acute damage to liver function by LP-TAE treatment. Wei N,Zu MH,Xu H,et al. J Interv Radiol (Chinese) . 2000
[2]  
A new approach to chemoembolization therapy for hepatoma using ethiodized oil, cisplatin, and gelatin sponge. Sasaki Y,Imaoka S,Kasugai H,et al. Cancer . 1987
[3]  
Transcatheter oily chemoembolization for the treatment of large Hepatocellular carcinoma with an accompanying tumor thrombus in the right main branch of the portal vein and A-P shunting: report of one pations still surviving after more than seven years. Inoue K,Akaji H,Nakamura H,et al. Radiation Medicine . 1991
[4]  
Interventional therapy in late hepatic cancer with portal vein cancer embolus formation. Lin JJ,Qiao DL. J Interv Radiol ( Chinese ) . 2001
[5]  
Ischemic complication of transcatheter arterial chemoembolization in liver malignancies. Tarazov PG,Polysalov VN,Prozorovskij KV,et al. Acta Radiologica . 2000
[6]  
Hepatic tumors: predisposing factors for complication of transcatheter oily chemoembolization. Chung JW,Park JH,Han JK,et al. Radiology . 1996
[7]  
Analysis of prognostic factor using Cox ’s model in Hepatocellular carcinoma treated by interventional radiological therapy. Jia YC,Liu Q,He J,et al. Clin J Radiol (Chinese) . 1996
[8]  
The severe and rare complications in Transcatheter arterial chemoembolization for liver cancer. Xia JL,Ren ZG,Chen Y,et al. J Pract Oncol (Chinese) . 2003
[9]  
Pulmonary oil embolism after transcatheter oily chemoembolization of hepatocellular carcinoma. Chung JW,Park JH,Im JG,et al. Radiology . 1993
[10]  
Ischemic bile duct injury as a serious complication after chemoembolization in pations with hepatocellular carcinoma. Kim HK,Chung YH,Song BC,et al. Journal of Clinical Gastroenterology . 2001