| 肝动脉化疗栓塞后肝脓肿形成的原因及治疗 |
| |
| 引用本文： | 罗剑钧,颜志平,王建华,钱晟,李文会.肝动脉化疗栓塞后肝脓肿形成的原因及治疗[J].介入放射学杂志,2001,10(1):24-26. |
| |
| 作者姓名： | 罗剑钧 颜志平 王建华 钱晟 李文会 |
| |
| 作者单位： | 复旦大学医学院中山医院放射科 |
| |
| 摘 要： | 目的 探讨肝动脉化疗栓塞（HACE）后正常肝实质并发脓肿的原因及治疗。方法 6例肝癌患者经HACE术后，正常肝实质内形成脓肿。明确诊断后，在B超引导下行经皮穿刺脓肿引流和对脓腔进行抗菌素灌洗。结果 4例患者脓肿愈合，2例患者脓腔明显缩小。结论 分析肝内脓肿形成的主要原因为：（1）胆道损伤；（2）门静脉内癌栓形成；（3）胆囊动脉及胆道周围动脉丛的栓塞。在B超引导下经皮穿刺脓肿引流及选用敏感抗菌素每天对脓腔进行灌洗是治疗HACE术后并发肝脓肿的有效手段。
|
| 关 键 词： | 肝脓肿 肝癌 引流 HACE 治疗 |
| 修稿时间： | 2000年3月20日 |
Liver abscess formation after HACE: the causes and treatment |
| |
| LUO Jianjun,YAN Zhiping,WANG Jianhua,et al..Liver abscess formation after HACE: the causes and treatment[J].Journal of Interventional Radiology,2001,10(1):24-26. |
| |
| Authors: | LUO Jianjun YAN Zhiping WANG Jianhua |
| |
| Institution: | LUO Jianjun,YAN Zhiping,WANG Jianhua,et al. Department of Radiology,Zhongshan Hospital,Fudan University,Medical College,Shanghai 200032,China |
| |
| Abstract: | Objective To study the causes and treatment of abscess formation in the liver parenchyma after HACE. Methods Six cases of liver abscess formation after HACE were reported. Each of them was percutaneously drained under ultrasound guidance and flushed with sensitive antibiotic every day. Results 4 abscesses were completely cured, the other 2 decreased remarkably in size.Conclusions The main causes of liver abscess after HACE were the damage of biliary tract, cancer embolus in the portal vein and embolization of the gallbladder artery. Effective drainage and flush with sensitive antibiotic were the treatment of choice. |
| |
| Keywords: | Liver abscess Hepatic carcinoma Drainage HACE |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
