原发性肝癌TACE术后与肺转移

目的探讨原发性肝癌经导管肝动脉化疗栓塞术(TACE)后发生肺转移的机制。方法回顾分析25例TACE术后患者的病历资料,发现肺转移15例;对转移患者的年龄、转移时间、生存时间、X线(胸片及CT)改变、心理因素做总结分析。结果TACE术后肺转移发生率为60.0%,且以年轻者为多见,知情者有严重的抑郁心理。结论年轻者易发生肺转移,严重的抑郁是促使其死亡的重要因素;多数死亡原因为肝肺功能衰竭。

Primary hepatic carcinoma after operation with transcatheter hepatic artery chemotherapy embolization(TACE) and pulmonary metastasis

Objective To explore the mechanisms of developing pulmonary metastasis of primary hepatic carcinoma after TACE.Methods Twenty-five primary hepatic carcinoma patients after TACE were analysed retrospectively and 15 cases were found to have pulmonary metastasis after TACE.The age,metastasis time,survival time,X-ray(chest radiography and CT)changes and psychological factor of the patients were analysed.Results The rate of the patients who developed pulmonary metastasis after TACE was 60.0% and most of them were young patients.The patients who knew the facts had serious mental depression.Conclusions The young patients are prone to develope pulmonary metastasis.The serious depression was the important factor promoting the death.Most causes of death were hepatic failure and pulmonary failure.