CAJ | 학술논문

肝海绵状血管瘤是肝脏最常见的良性肿瘤,近年来接受肝动脉栓塞化疗的患者越来越多,相关的并发症、后遗症也随之增多,其中胆管损伤所致的梗阻性黄疸是严重的并发症之一.对于这类症状不典型的梗阻性黄疸有可能误诊为胆道恶性肿瘤,从而对后续处理带来难以预料的影响.同济大学附属同济医院收治2例肝动脉栓塞化疗治疗肝血管瘤后发生梗阻性黄疸患者,总结其诊断与治疗经验.
간해면상혈관류시간장최상견적량성종류,근년래접수간동맥전새화료적환자월래월다,상관적병발증、후유증야수지증다,기중담관손상소치적경조성황달시엄중적병발증지일.대우저류증상불전형적경조성황달유가능오진위담도악성종류,종이대후속처리대래난이예료적영향.동제대학부속동제의원수치2례간동맥전새화료치료간혈관류후발생경조성황달환자,총결기진단여치료경험.
Hepatic cavernous hemangioma is the most common benign tumor of liver.Hepatic artery embolism chemotherapy is one of the commonly used treatment methods,but more and more related complications and sequelae have been reported recently,including obstructive jaundice caused by damaged biliary tract.Because the symptoms are not typical,obstructive jaundice might be misdiagnosed as malignant biliary tumor,which brought troubles to subsequent treatment.In this article,the clinical data of 2 patients with obstructive jaundice following transcatheter hepatic arterial chemoembolization for hepatic cavernous hemangioma were retrospectively analyzed,and the experience in the diagnosis and treatment of this disease was summarized.