摘要
目的 :探讨经肝动脉介入治疗并发胆囊坏死的发生原因和防治措施。方法 :报告 2例经肝动脉介入治疗并发胆囊坏死的病例 ,均经手术病理证实。并结合文献资料分析这一并发症发生的机率、原因 ,以及为了减少并发症的发生需要注意的一些问题。结果 :近 8年来我院共做经肝动脉介入治疗 6 80例次 ,并发胆囊坏死 2例 (0 3% )。其发生原因是多方面的。超选择插管不到位是该并发症发生的主要原因。结论 :胆囊坏死是经肝动脉介入治疗比较常见的严重并发症之一 ,在今后工作中应引起足够的重视 ,尤其对肝血管瘤的介入治疗更应慎重 ,使这一并发症的发生率降至最低限度。
Objective:To investigate the cause and preventional measurements of gallbladder necrosis after transcatheter hepatic arterial therapy.Methods:2 cases complicated by gallbladder necrosis were reported.Combined with literatures,the probability,cause and prevention of this complication were analyzed.Results:In the past 8 years,2 of 680 cases (0.3%) performed transcatheter hepatic arterial therapy in our department were complicated by gallbladder necrosis procedure.causes of the complication were many-faceted.It was the main cause that the catheter tip was not positioned beyond the cystic artery.Conclusion:Gallbladder necrosis is one of severe complications in transca theter hepatic arterial therapy.It should be minded and avoided especially for liver haemangioma.
出处
《内蒙古医学杂志》
2004年第10期740-743,共4页
Inner Mongolia Medical Journal
关键词
介入性放射学
并发症
胆囊坏死
Interventional radiology
Complication
Gallbladder necrosis
