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肝海绵状血管瘤动脉栓塞术后胆管损伤原因分析与对策
引用本文:韦树长,侯昭才. 肝海绵状血管瘤动脉栓塞术后胆管损伤原因分析与对策[J]. 医学影像学杂志, 2011, 21(9): 1370-1372
作者姓名:韦树长  侯昭才
作者单位:柳州医学高等专科学校第一附属医院放射科 广西柳州545002
摘    要:
目的:探讨肝动脉栓塞术治疗肝血管瘤后胆管损伤的原因与对策。方法:46例肝海绵状血管瘤患者,用5F导管超选择插管至肝血管瘤的供血支,经导管注入平阳霉素-碘油乳剂(PLE)进行栓塞。结果:超选择性插管成功率100%,术后共有2例出现胆管损伤并发症,总发生率4.4%,经对症等处理后分别于3、8个月后肝功能恢复正常。结论:明确CHL血供类型、控制碘油乳剂用量及高水平的操作技术可以减少和避免胆管损伤并发症的发生。

关 键 词:肝动脉栓塞  血管瘤  并发症  对策

The causes and countermeasure of bile duct injury after transcatheter arterial chemoembolization for hepatic malignancy
WEI Shu-zhang,HOU Zhao-cai. The causes and countermeasure of bile duct injury after transcatheter arterial chemoembolization for hepatic malignancy[J]. Journal of Medical Imaging, 2011, 21(9): 1370-1372
Authors:WEI Shu-zhang  HOU Zhao-cai
Affiliation:WEI Shu-zhang,HOU Zhao-cai Department of Radiology,The First Affiliated Hospital of Liuzhou Medical College,Liuzhou 545002,P.R.China
Abstract:
Objective:To investigate the causes and countermeasure of bile duct injury after transcatheter arterial chemoembolization(TACE) for hepatic malignancy.Methods:46 cases of CHL underwent 5F catheter superselective catheterization of hepatic hemangioma blood supply support,the catheter pingyangmycin-lipiodol emulsion(PLE) for embolization.Results:Superselective catheterization success rate was 100%.There were 2 cases of postoperative complications of bile duct injury,with the total incidence rate of 4.4%.The l...
Keywords:Transcatheter arterial chemoembolization  Cavernous hemangioma  Bile duct injur  Countermeasure  
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