动脉介入栓塞治疗肝癌破裂出血

目的分析原发性肝癌自发性破裂出血经动脉介入栓塞(TAE或TACE)治疗的效果。方法回顾性分析安徽省立医院2008年8月-2011年11月的11例采用急症介入栓塞治疗的原发性肝癌破裂出血患者的临床资料。结果 11例患者均得以成功止血,术后30 d生存10例(90.9%),术后3个月生存6例(54.5%),术后1年生存3例(27.2%)。结论 TAE(TACE)是治疗肝癌破裂出血的有效方法,不仅能达到立即止血,提高患者生存率的目的 ,还能为后续进一步治疗创造条件。

Interventional treatment of hepatic bleeding due to spontaneous rupture of hepatocellular carcinoma

Objective To discuss the therapeutic efficiency of transarterial embolization(TAE) and transarterial chemoemboiization(TACE) for hepatic bleeding due to spontaneous rupture of hepatocellular carcinoma(HCC).Methods During the period from August 2008 to November 2011 in authors’ hospital, emergency TAE or TACE was carried out in 11 patients with hepatic bleeding due to spontaneous rupture of HCC.The clinical data were retrospectively analyzed.The survival rate was calculated.Results Successful hemostasis was achieved in all 11 patients.After the treatment,the one-month,3-month,and 12-month survival rates were 90.9%(n= 10),54.5%(n= 6) and 27.2%(n= 3),respectively.Conclusion Both TAE and TACE are the effective treatment for hepatic bleeding due to spontaneous rupture of HCC.Instant hemostasis can be reliably achieved with this technique,and the survival rate can be obviously increased. Besides,the patient’s clinical condition can be markedly improved,which is very helpful for the subsequent therapies.