| 原发性肝癌破裂出血的CT诊断及介入治疗 |
| 投稿时间：2009-09-23 修订日期：2009-12-03 点此下载全文 |
| 引用本文：董景辉、王华明、张军华、李勇、武马威.原发性肝癌破裂出血的CT诊断及介入治疗[J].医学研究杂志,2010,39(1):103-105 |
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| 中文摘要:目的探讨原发性肝癌破裂出血的螺旋CT诊断及介入治疗的方法和疗效。 方法46例经临床诊断原发性肝癌破裂出血患者术前均行螺旋CT检查，使用明胶海绵和（或）碘化油混悬乳液行急诊肝动脉栓塞（TAE）止血治疗。 结果46例患者CT检查诊断28例，7例患者CT首先发现肝癌破裂出血，46例患者经介入止血治疗后出血均得到有效控制，无严重并发症的发生。结论螺旋CT对原发性肝癌破裂出血的诊断具有特异性，急诊TAE治疗止血成功率高，并发症少，应作为原发性肝癌破裂出血的首选治疗方法。 |
| 中文关键词:原发性肝癌、破裂出血、计算机断层扫描、肝动脉栓塞 |
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| Diagnosis and Interventional Therapy by Spiral CT in Rupture of Hepatocellular Carcinoma |
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| Abstract:ObjectiveTo investigate the diagnosis and the curative effects of interventional therapy by spiral CT in rupture of hepatocellular carcinoma（HCC）. Methods46 patients were checked by spiral CT and abdominal puncture of non-condensable blood. All the patients were treated by the transcatheter arterial embolization (TAE) with iodinated oil and/or gelatin sponge. ResultsCharacteristic findings were detected in 31 patients，of which 7 patients were chiefly detected by spiral CT. The bleeding of ruptured HCCs was controlled effectively in all the cases treated by TAE without serious complications. ConclusionSpiral CT is susceptive to the diagnosis of the ruptured HCC. TAE can be the chiefly treatment in ruptured HCC with fewer serious complications. |
| keywords:Hepatocellular carcinoma Rupture Tomography,X-ray computed TAE |
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