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[目的]探讨肝转移癌肝动脉栓塞对胆道造成损伤的原因及处理方法。[方法]回顾2002年11月～2004年2月77例行肝动脉栓塞的肝转移癌患者资料。[结果]肝动脉栓塞后引起胆汁瘤共4例。其中1例胆汁瘤在经皮穿刺引流后消失;1例胆汁瘤行酒精消融治疗后消失,1例胆汁瘤在经皮穿刺引流后出现腹膜炎,治疗后好转;另外1例因其无临床症状未行特殊治疗。[结论]非超选择性栓塞或过度栓塞将会造成病变外正常肝和胆道的坏死,形成胆汁瘤,外引流和酒精消融是可选择的治疗方法。
[Objective] To investigate the cause of the injury of the biliary tract due to hepatic artery embolization in liver metastasis and its treatment. [Method] The data of 77 patients with hepatic metastasis who underwent hepatic artery embolization from November 2002 to February 2004 were retrospectively reviewed. [Results] A total of 4 bile tumors were caused after hepatic artery embolization. One case of bile tumor disappeared after percutaneous puncture and drainage; one case of bile tumor disappeared after alcohol ablation, one case had peritonitis after percutaneous puncture and drainage, and improved after treatment; another case had no clinical symptoms Special treatment line. [Conclusion] Non-superselective embolization or over-embolization will result in the necrosis of normal liver and biliary tract outside the lesion. The formation of bile tumor, external drainage and alcohol ablation are the alternative treatment methods.