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60例肝癌经导管肝动脉栓塞化疗(THAE)前由于导管无法超选择插管而行经导管胃十二指肠动脉栓塞。其中45例用羊毛钢圈栓塞,44例成功:11例以导丝人为损伤血管内膜(导管不能插入)后10例闭塞,另4例导管导丝均不能插入。由于胃十二指肠动脉闭塞,THAE时避免了碘油抗癌药混悬剂或明胶海绵颗粒进入胃十二指肠动脉。所有胃十二指肠动脉栓塞的病例无直接并发症。因此认为,胃十二指扬动脉栓塞是安全的,对防止肝癌THAE时栓塞剂返流所致的胃十二指肠损伤具有重要意义。
Before transcatheter arterial chemoembolization (THAE) was performed in 60 patients with hepatic carcinoma, transcatheter gastroduodenal artery embolization was performed because the catheter could not be superselectively intubated. Among them, 45 cases were embolized with wool rims, and 44 cases were successful: 11 cases were artificially invaded by the guide wire and the endocardium (the catheter could not be inserted) was occluded in 10 cases, and the other 4 catheter guide wires could not be inserted. Due to occlusion of the gastroduodenal artery, THAE avoids the entry of lipiodol anticancer drug suspensions or gelatin sponge particles into the gastroduodenal artery. All cases of gastroduodenal artery embolization had no direct complications. Therefore, it is believed that the gastroduodenal artery embolization is safe and is of great significance in preventing gastroduodenal injury caused by embolization agent reflux during hepatic arterial THAE.