当前位置: 首页 > 期刊 > 《中华现代外科学杂志》 > 2005年第16期
编号:10781850
使用皮下埋藏灌注器治疗肝癌导管并发症分析
http://www.100md.com 《中华现代外科学杂志》 2005年第16期
肝癌,,肝癌;灌注器;治疗;并发症,1资料与方法,2结果,3讨论,【参考文献】
     【摘要】 目的 研究皮下埋藏灌注器治疗肝癌导管所致的并发症。方法 收集我院1990~2004年用该方法治疗肝癌患者共313例,其中肝动脉栓塞化疗234例,门静脉化疗33例,肝动脉栓塞化疗加门静脉化疗40例,腹腔置管化疗6例。结果 发生导管并发症共43例,发生率为13.7%,其中导管堵塞16例,导管移动、松脱7例,肝动脉胆管漏8例,灌注器皮下感染,皮瓣坏死12例,肝动脉插管与门静脉插管导管并发症的比率为2.6∶1。结论 采用皮下埋藏灌注器治疗由肝癌导管所致的并发症,为数不少,应引起重视。

    【关键词】 肝癌;灌注器;治疗;并发症

    Complications of the plastic tube of a totally implanted infusion pump in the treatment of liver cancer

    ZHEN Yu-yang,XU Feng-feng,LONG Shuo.

    Department of General Surgery,Division of Huangpu,The First Affiliated Hospital of Zhongshan University,Guangzhou 510700,China

    【Abstract】 Objective To study the complications of the plastic tube of a totally implanted infusion pump in the treatment of liver cancer.Methods 313 cases of liver cancer received totally implanted infusion pump from 1990 to 2004,include 234 cases of hepatic arterial embolization or chemotherapy,33 cases of portal vein chemotherapy,40 cases of hepatic arterial and portal vein chemotherapy,and 6 cases of intraperitoneal chemotherapy.Results 43 cases happened complications in all,the rate was 13.7%,include 16 cases of tube jam,7 cases of tube displace,8 cases of hepatic artertiobiliary fistula,12 cases of infection in subcutaneous or skin putrescence,the ratio of complication in hepatic arterial embolization or chemotherapy than portal vein chemotherapy was 2.6∶1.Conclusion The complications of the plastic tube of a totally implanted infusion pump in the treatment of liver cancer happened frequently. ......

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