| 原发性肝癌合并肝动脉-门静脉瘘介入治疗分析 |
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| 引用本文： | 王玉玲,印春涛.原发性肝癌合并肝动脉-门静脉瘘介入治疗分析[J].中国介入影像与治疗学,2007,4(6):448-450. |
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| 作者姓名： | 王玉玲 印春涛 |
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| 作者单位： | 江苏省盐城市第一人民医院放射科,江苏,盐城,224006 |
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| 摘 要： | 目的回顾性分析原发性肝癌合并肝动脉-门静脉瘘介入治疗方法及临床疗效。方法对38例肝癌合并肝动脉-门静脉瘘患者用聚乙烯醇(PVA)颗粒 无水乙醇栓塞动静脉瘘,经DSA造影了解瘘闭塞情况。结果38例中动静脉瘘消失及明显减少31例,动静脉瘘减少不明显或无效7例。4例消化道出血均于术后1天后停止,14例腹水明显减少。28例TAE碘油沉积良好。结论以PVA 无水乙醇栓塞动静脉瘘安全有效,能使碘油药物更好地沉积于肿瘤内,提高了肝癌介入治疗的效果。
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| 关 键 词： | 肝肿瘤 动-门静脉瘘 栓塞 治疗性 乙醇 |
| 文章编号： | 1672-8475（2007）06-0448-03 |
| 收稿时间： | 8/8/2007 12:00:00 AM |
| 修稿时间： | 2007-08-08 |
Interventional treatment for hepatocellular carcinoma with arterioportal fistulas |
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| WANG Yu-ling and YIN Chun-tao.Interventional treatment for hepatocellular carcinoma with arterioportal fistulas[J].Chinese Journal of Interventional Imaging and Therapy,2007,4(6):448-450. |
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| Authors: | WANG Yu-ling and YIN Chun-tao |
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| Institution: | Department of Radiology, the First Hospital of Yancheng, Jiangsu 224006, China |
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| Abstract: | Objective To retrospectively analyses the effect of interventional embolizing for HCC with hepatic arterioportal shunt(HAPS).Methods Thirty-eight cases with HAPS were treated by embolizing with PVA and ethanol.Results The shunting disappeared or marked reduced in 31 cases,no change in 7 cases.The bleeding of upper gastrointestine was ceased in 4 cases on the following day after the management.Ascites was markedly reduced in 21 cases.Lodized oil deposition was satisfactory after TAE in 28 cases.Conclusion Embolization of HAPS with PVA and ethanol was safe and effective,and improve the effect of the interventional therapy for HCC. |
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| Keywords: | Liver neoplasms Arterioportal shunt Embolization therapeutic Ethanol |
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