| 急诊肝动脉化疗栓塞术治疗肝癌破裂出血 |
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| 引用本文： | 孔健,窦永充,曹满瑞.急诊肝动脉化疗栓塞术治疗肝癌破裂出血[J].中华急诊医学杂志,2002,11(5):304-306. |
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| 作者姓名： | 孔健 窦永充 曹满瑞 |
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| 作者单位： | 518020,广东省暨南大学医学院附属第二医院深圳市人民医院介入放射科 |
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| 摘 要： | 目的：评价急诊肝动脉化疗栓塞术治疗肝癌破裂出血的疗效。方法：回顾分析36例肝癌破裂出血使用不同方法治疗的患者资料，其中急诊肝动脉化疗栓塞术11例，保守治疗7例，肝切除术12例，肝动脉结扎6例。结果：11例肝动脉化疗栓塞术治疗患者全部止血成功，无严重并发症，术后无复发出血。其1年生存率与肝切除组基本相似（P＜0．05）而明显高于其他治疗方法组（P＜0．05）。结论：肝动脉化疗栓塞术治疗肝癌破裂出血疗效显著。
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| 关 键 词： | 急诊 肝动脉 化疗栓塞术 治疗 肝癌 出血 肝破裂 |
| 修稿时间： | 2002年3月18日 |
Rupture of hepatocellular carcinoma:treatment by emergency transcatheter hepatic artery chemoembolization |
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| Abstract: | Objective To evaluate the clinical efficacy of transcatheter hepatic artery chemoembolization for treat acute rupture to hepatocellular carcinoma.Methods Retrospectively reviewed 36 cases of spontaneous ruptrure of hepatocellular carcinoma treated by different methods:emergency hepatic artery chemoembolization treatment 11 cases,conservative treatment 7 cases,hepatic artery ligation 6 cases,emergency hepatectomy 12cases.Results 11 cases treated by emergency transcatheter hepatichepatic artery chemoembolization,successful hemostasis was achieved in all patients,no serious complications related to embolization were encountered.The 1-year survival rate is not significantly different between the emergency hepatectomy( P >0 05),and sigificantly higher than other treatments ( P <0 05).Conclusion The emergency hepatic artery chemoembolization is an efficient way in achieving hepatic hemostasis in patients with rupture of hepatocellular carcinoma. |
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| Keywords: | Hepatocellular carcinoma Hepatic rupture Embolic treatment |
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