CAJ | 학술논문

目的：探讨利用碘化油联合明胶海绵经导管动脉栓塞术治疗肝癌破裂出血的效果。方法对14例肝癌破裂出血患者急诊行经导管选择性肝动脉栓塞术，栓塞材料为碘化油和明胶海绵，术后随访1年。结果术后所有患者活动性出血停止，止血有效率达100％，1例患者术后第10天死于肝肾功能衰竭，住院病死率为7．1％，术后1、3、6、12个月生存率分别为92．86％、78．57％、71．43％、42．86％。结论利用碘化油联合明胶海绵经导管动脉栓塞术治疗肝癌破裂出血安全、有效，可作为肝癌破裂出血患者首选治疗方法。
목적：탐토이용전화유연합명효해면경도관동맥전새술치료간암파렬출혈적효과。방법대14례간암파렬출혈환자급진행경도관선택성간동맥전새술，전새재료위전화유화명효해면，술후수방1년。결과술후소유환자활동성출혈정지，지혈유효솔체100％，1례환자술후제10천사우간신공능쇠갈，주원병사솔위7．1％，술후1、3、6、12개월생존솔분별위92．86％、78．57％、71．43％、42．86％。결론이용전화유연합명효해면경도관동맥전새술치료간암파렬출혈안전、유효，가작위간암파렬출혈환자수선치료방법。
Objective To study the effect of transcatheter arterial embolization ( TAE) using lipiodol and gelfoam to treat hemorrhage caused by hepatic carcinoma rupture .Methods Fourteen patients with hemorrhage-caused by hepatic carcinoma rupture underwent selective transcatheter hepatic artery embolization in emergency .The embolic material was lipiodol and gelfoam .All the 14 patients were followed up for 12 months after embolization .Results Active hemorrhage ceased after selective hepatic artery embolization in all cases and hemostasis rate was 100%.One patient died of hepatorenal failure in the 10th day after TAE.The in-hospital mortality rate was 7.1%.The survival rates at 1,3,6 and 12 months were 92.86%,78.57%,71.43% and 42.86%,respectively.Conclusions TAE using lipiodol and gelfoam is a safe and effective way ,which is preferred to treat hemorrhage caused by hepatic carcinoma rupture .