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编号:11401000
肝脾双介入治疗肝癌伴脾亢的若干问题探讨
http://www.100md.com 《中华现代影像学杂志》 2006年第12期
原发性肝癌;脾功能亢进;肝动脉,化疗;部分脾栓塞;双介入,,],原发性肝癌;脾功能亢进;肝动脉,化疗;部分脾栓塞;双介入,1资料与方法,2结果,3讨论,[参考文献]
     [摘要] 目的 探讨行肝动脉灌注化疗栓塞的同时行部分脾栓塞双介入治疗原发性肝癌伴脾功能亢进的可行性。方法 回顾分析126例不能手术切除的肝癌伴脾亢患者行双介入治疗,观察其临床表现和并发症,以及测定栓塞前后血象变化。结果 126例肝癌伴脾亢患者除有发热、上腹部疼痛、恶心、呕吐等一般性并发症外,出现胸腔积液3例、栓塞性胆囊炎3例、肝性脑病2例、心肌梗死1例等较重并发症。结论 对肝癌伴脾亢患者进行肝脾双介入治疗的方法较单介入治疗中晚期肝癌临床更为有效,具一定的临床应用价值。

    [关键词] 原发性肝癌;脾功能亢进;肝动脉,化疗;部分脾栓塞;双介入

    Study on double interventional treatment for hepatocellular carcinoma accompanied by hypersplenism

    NIU Zhike,YU Zhongming,ZHANG Lijun,et al.Department of Radiology,The First Peoples Hospital of Hebi,Henan 458030,China

    [Abstract] Objective To explore the possibility of the perfusion chemotherapy embolism of hepatic artery in hepatocellular carcinoma accompanied by hypersplenism and together with part of splenic embolism treatment. Methods Review analysis on 126 cases of hepatocellular carcinoma cannot be surgery accompanied by hypersplenism,treated by double interventional,observe the clinical appearance and complications,determine the change number of blood cells. Results There are normal complications such as fever,pain in the upper abdomen ......

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