论文部分内容阅读
目的 :探讨肝癌肝动脉 -门静脉瘘并上消化道出血的诊断及介入治疗的方法和意义。方法 :对 2 0例肝癌肝动脉 -门静脉瘘并上消化道出血病人 ,均采用经皮股动脉穿刺置管肝动脉造影的方法明确诊断 ;经肝动脉栓塞术 (TAE)闭合瘘管 ,同时行肝动脉栓塞化疗。结果 :2 0例病人均成功行TAE ,术后即时止血 ,造影复查肝动脉 -门静脉瘘短路好转或消失 ,复查AFP下降 ,肿瘤染色浅。结论此方法安全可靠 ,能有效闭合瘘管 ,及时止血 ,联合栓塞化疗 ,能改善患者生活质量 ,延长生命。
Objective: To investigate the method and significance of diagnosis and interventional treatment of hepatic artery-portal venous fistula with upper gastrointestinal hemorrhage. Methods: Twenty patients with hepatic artery-portal vein fistula and upper gastrointestinal hemorrhage were diagnosed by transcutaneous femoral artery catheterization and hepatic artery angiography. Tail was closed by transcatheter arterial chemoembolization (TAE) Artery embolization chemotherapy. Results: Twenty patients were successfully treated with TAE. Immediate postoperative hemostasis was performed. Shortening of hepatic artery - portal venous fistula was improved or disappeared. The AFP level was decreased and the staining of tumor was shallow. Conclusion This method is safe and reliable, can effectively close the fistula, timely hemostasis, combined with embolic chemotherapy can improve the quality of life of patients and prolong life.