肝癌自发性破裂出血介入动脉栓塞治疗

目的研究原发性肝癌自发性破裂出血介入动脉栓塞治疗的方法。方法回顾性分析对16例肝癌破裂出血患者采用急诊介入栓塞止血。结果本组16例患者均得以有效止血。3例门静脉部分或完全阻塞患者经肝动脉栓塞（TAE）治疗后未出现肝功能衰竭。3例患者在栓塞术后3～7天内成功施行肝肿瘤切除术。13例患者明胶海绵栓塞术后,根据病情多次行介入治疗,肿瘤均有不同程度的缩小和坏死。结论TAE是治疗肝癌破裂出血的有效方法,可达到立即止血的目的,同时可为肝癌后续血管内治疗提供途经。

Interventional treatment on spontaneous rupture and bleeding of liver carcinoma

Purpose: To summarize the experiences of nterventional treatment on spontaneous rupture and bleeding of liver carcinoma. Methods: Emergency embolization treatment on 16 patients with spontaneous rupture and bleeding of primary liver cancer were analyzed retrospectively. Results: Hemorrhage was stopped effectively in all 16 cases. There were no recurrent hemorrhage and acute hepatic function failure after the treatment in the rest of the cases. 3 to 7 days after embolization,hepatectomy was performed success...