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目的探讨血管超选介入方式的肝癌化疗栓塞术(TACE)对肝癌合并中央型动静脉瘘(HAPFs)的应用价值。方法 25例肝癌合并中央型HAPFs患者(传统组)先封堵瘘口,再行TACE;28例肝癌合并中央型HAPFs(改进组)先越过瘘口后对肝段或肝亚段动脉行化疗栓塞,再封堵瘘口,再行TACE。术后1~2个月CT扫描评价碘油沉积情况。结果传统组碘油沉积良好12例,改进组沉积良好20例,改进组中央型HAPFs较传统组碘油沉积面积提高(2χ=4.098,P<0.05)。结论采用血管超选介入方式治疗中央型HAPFs可增加碘油沉积面积。
Objective To investigate the value of transcatheter hepatic chemoembolization (TACE) in the treatment of hepatocellular carcinoma complicated with central arteriovenous fistula (HAPFs). Methods Twenty-five cases of HCC with central HAPFs were divided into two groups. TACE was performed in 25 cases of HCC with central HAPFs. Twenty-eight cases of HCC with central HAPFs (modified group) crossed the fistula and received chemoembolization , Then seal the fistula, then TACE. Postoperative 1 to 2 months CT scan evaluation lipiodol deposition. Results In the traditional group, 12 cases of lipiodol deposition was good and 20 cases of improvement in the deposition group. The HAPFs in the improved group were higher than the traditional group (2χ = 4.098, P <0.05). Conclusion The interventional treatment of central HAPFs by vascular intervention can increase the area of lipiodol deposition.