肝癌破裂出血三种治疗方法的对照研究-放射学实践.PDFVIP

20013 16 2 Radiol Practice, Mar 2001, Vol 16, No.2 7 虞希祥 郝权武 蔡积武 李阳 林友岳 黄林芬 王玉珠 彭文献 = :研究肝细胞肝癌( hepatocellular carcinoma,HCC) 自发性破 出血保守治疗外科治疗与介入治疗的适应 证禁忌证及方法 : 对29例HCC 自发性破 出血患者采用三种方法治疗保守治疗组 8例, 外科治疗组6 例, 介 入治疗组15例: 保守治疗组中1例24h 内死于失血性休克,2 例第6 天死于肝肾功能衰竭, 5 例分别生存 16 天17 天23 天47 天和52 天外科治疗组中2 例行肝包膜下淀粉海绵大网膜填塞后1例出血未能彻底控制于次日死亡, 1例第 7 天死于肝肾功能衰竭, 另4例行肝动脉结扎术后1例于第9 天死于肝功能衰竭,3 例分别生存28 天31天和57 天介入 治疗组行急诊肝动脉栓塞术(T E) 后出血均得到完全控制除1例术后第5 天死于严重肝肾功能衰竭外, 其余 14 例生存 期大于3 个月6 个月和12 个月者分别为14例6例和3 例, 1例随访30 个月仍存活:3组中以介入治疗组最有价值, 用多种栓塞剂行急诊T E 治疗可使HCC 自发性破 出血立即止血其适应证宽创伤小, 是安全可靠简便的抢救手段 = 癌,肝细胞 肝破 治疗性 评价研究 = R735.7 = = 1000-0313( 2001)02-0079-03 Comparative study of three methods treating hepatorrhexis Yu Xixiang,Hao Quanwu,Cai Jiwu,et al. Department of Interventional Radiology.The Third ffiliated Hospital of WenzhouMedical College,Zhejiang 325200 = Abstract Objective:To study indications, contraindications andmethod of different treatments ofHCC( hepatocellular carcinoma) spontaneous rupture and bleeding, including medical therapy, surgical therapy and interventional therapy. Methods: 29 cases with HCC spontaneous rupture and bleeding were treated by different method, medical treatment 8 cases, surgical treatment 6 cases, interventional treatment 15 cases.Results:The survival periodof cases by medicaltherapy was 24h ( diedfrom shock) ,6 days ( 2cases died from hepato- cellular failure and renal failure) 16 days, 17 days, 23 days, 47 days and52 days separately.The survivalperiod of casesby surgical thera- py was 1 days (treatedwith plugging and stiching of liver laceration, died from bleeding) 7 days, 9 days (treated with ligation of hepatic artery,died from hepatocellular failure) ,28days,31days and57 daysseparately.The mean survivaltime of cases by interventional therapy was 7 months,the longest surviva