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目的探讨肝肿瘤肝动脉栓塞治疗后并发症产生的原因。方法对17例(胆汁瘤11例,肝脓肿4例,肺梗塞2例)肝动脉栓塞治疗后出现并发症的患者的临床资料进行回顾性分析。结果17例患者介入治疗时均为超选择插管,术中注入碘化油15~30ml,17例患者术中造影均未见明确肝动脉-门静脉短路和肝动脉-肝静脉短路。结论肝动脉栓塞治疗时栓塞剂选用、配制不当,释放不正确和过度栓塞是产生胆汁瘤、肝脓肿、肺梗塞的原因。
Objective To investigate the causes of complications after hepatic artery embolization. Methods The clinical data of 17 patients (11 cases of bile tumor, 4 cases of liver abscess and 2 cases of pulmonary infarction) were retrospectively analyzed in patients with complications after hepatic arterial embolization. Results All 17 patients underwent superselective intubation. Intraoperative injection of 15-30 mL of iodized oil showed no obvious hepatic artery - portal vein short circuit and hepatic artery - hepatic vein short circuit in 17 patients during intraoperative angiography. Conclusion Hepatic artery embolization in the selection of embolic agents, improper preparation, improper release and over embolization is the cause of bile tumors, liver abscess, pulmonary infarction.