碘化油联合明胶海绵经导管动脉栓塞急诊治疗肝癌破裂出血

目的探讨利用碘化油联合明胶海绵经导管动脉栓塞术治疗肝癌破裂出血的效果。方法对14例肝癌破裂出血患者急诊行经导管选择性肝动脉栓塞术,栓塞材料为碘化油和明胶海绵,术后随访1年。结果术后所有患者活动性出血停止,止血有效率达100%,1例患者术后第10天死于肝肾功能衰竭,住院病死率为7.1%,术后1、3、6、12个月生存率分别为92.86%、78.57%、71.43%、42.86%。结论利用碘化油联合明胶海绵经导管动脉栓塞术治疗肝癌破裂出血安全、有效,可作为肝癌破裂出血患者首选治疗方法。

Transcatheter arterial embolization using lipiodol and gelfoam to treat hemorrhage caused by hepatic carcinoma rupture in emergency

Objective To study the effect of transcatheter arterial embolization（TAE） using lipiodol and gelfoam to treat hemorrhage caused by hepatic carcinoma rupture. Methods Fourteen patients with hemorrhage-caused by hepatic carcinoma rupture underwent selective transcatheter hepatic artery embolization in emergency. The embolic material was lipiodol and gelfoam. All the 14 patients were followed up for 12 months after embolization. Results Active hemorrhage ceased after selective hepatic artery embolization in all cases and hemostasis rate was 100%. One patient died of hepatorenal failure in the 10thday after TAE. The in-hospital mortality rate was 7. 1%. The survival rates at 1,3,6 and 12 months were 92. 86%,78. 57%,71. 43% and 42. 86%,respectively. Conclusions TAE using lipiodol and gelfoam is a safe and effective way,which is preferred to treat hemorrhage caused by hepatic carcinoma rupture.