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胆囊切除在肝癌术后肝动脉栓塞化疗中的临床意义
引用本文:文正奇,陈敏山,林小军,张亚奇,李锦清. 胆囊切除在肝癌术后肝动脉栓塞化疗中的临床意义[J]. 中国肿瘤临床与康复, 2002, 9(3): 87-88
作者姓名:文正奇  陈敏山  林小军  张亚奇  李锦清
作者单位:1. 昆明铁路局开远铁路医院外一科,云南,661600
2. 中山医科大学肿瘤医院肝胆科,广州,510060
摘    要:目的 讨论胆囊切除在肝癌术后经皮肝动脉栓塞化疗中的临床意义。方法 A组 2 0例在初次肝癌切除术中同时切除胆囊 ,B组 5 7例仅作肝癌切除术。比较两组术后经皮肝动脉栓塞化疗术后的副作用。结果 介入术后栓塞综合征 ,两组发生例数分别为发热 ( 7/38)、右上腹痛 ( 2 /19)、腹胀 ( 0 /9)、恶心呕吐 ( 5 /2 6 )、纳差 ( 4 /31)。结论 肝癌切除术中同时切除胆囊 ,有利于降低术后肝动脉栓塞化疗中介入栓塞综合征的发生率 ,减轻其副作用。

关 键 词:肝肿瘤  胆囊切除  术后肝动脉栓塞化疗  副作用
文章编号:1005-8664(2002)03-0087-02
修稿时间:2001-04-30

Clinical significance of cholecystectomy in the post-operativelytranscatheter hepatic artery chemoembolization for primary liver cancer
WEN Zheng-qi ,CHEN Min-shan ,LIN Xiao-jun ,et al.. Clinical significance of cholecystectomy in the post-operativelytranscatheter hepatic artery chemoembolization for primary liver cancer[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2002, 9(3): 87-88
Authors:WEN Zheng-qi   CHEN Min-shan   LIN Xiao-jun   et al.
Affiliation:WEN Zheng-qi 1,CHEN Min-shan 2,LIN Xiao-jun 2,et al. 1.The First Department of Surgery,Kaiyuan Railway Hospital of Kunming Railway Bureau,Kaiyuan 661600,China 2.Department of Hepatobiliary,Cancer Center,Sun Yat-sen University of Medical Sciences,Guangz
Abstract:Objective To study the clinical significance of cholecystectomy in transcatheter hepatic artery chemoembolization (TACE) after hepatectomy in primary liver cancer (PLC).Methods All cases of PLC in this study underwent hepatectomy and were confirmed by pathology.There were 20 cases in hepatectomy and cholecystectomy group (group A) and 57 cases in hepatectomy group(group B).The side effects of TACE of the two groups was observed and contrasted.Results The occurrence number of TACE syndrome of the two groups was:fever(7/38);liver region pain(2/19);abdominal distention(0/9);nausea and vomiting(5/26);inappetence(4/31).Conclusion Cholecystectomy with hepatectomy is of benefit to decreasing the incidence of TACE syndrome and is better than hepatectomy alone in reducing the side effects of TACE.
Keywords:liver neoplasm  cholecystectomy  TACE  side effects
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