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经导管动脉栓塞治疗肝细胞癌:通过计算机断层扫描评估进展情况

Hepatocellular carcinoma treated by transcatheter arterial embolization: progress evaluated by computed tomography.

作者信息

Furui S, Otomo K, Itai Y, Iio M

出版信息

Radiology. 1984 Mar;150(3):773-8. doi: 10.1148/radiology.150.3.6320258.

DOI:10.1148/radiology.150.3.6320258
PMID:6320258
Abstract

Computed tomography (CT) was performed after 65 transcatheter arterial embolizations (TAE) in 50 patients with hepatocellular carcinoma. Nonenhanced high-density areas were seen in the tumors within 3 days in 17/25 cases (though they soon disappeared) and low-density areas within 2 weeks in 62/65. Gas bubbles were seen in these areas within 2 weeks in 60% of embolizations. Within 3 to 6 months after the first TAE, enhanced lesions developed around or inside the low-density areas in 15/22 patients. Complications appearing within 2 weeks included non-enhanced low-density areas in the liver and spleen, gallbladder thickening, swelling of the head of the pancreas, contrast retention in the kidneys and gallbladder, ascites, and pleural effusion.

摘要

对50例肝细胞癌患者进行了65次经导管动脉栓塞术(TAE)后,进行了计算机断层扫描(CT)。25例中有17例在术后3天内肿瘤内可见非强化高密度区(尽管很快消失),65例中有62例在2周内可见低密度区。60%的栓塞术在2周内在这些区域可见气泡。首次TAE后3至6个月内,22例患者中有15例在低密度区周围或内部出现强化病变。2周内出现的并发症包括肝脏和脾脏的非强化低密度区、胆囊增厚、胰头肿胀、肾脏和胆囊内造影剂滞留、腹水和胸腔积液。

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Hepatocellular carcinoma treated by transcatheter arterial embolization: progress evaluated by computed tomography.经导管动脉栓塞治疗肝细胞癌:通过计算机断层扫描评估进展情况
Radiology. 1984 Mar;150(3):773-8. doi: 10.1148/radiology.150.3.6320258.
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[Successful experience in transcatheter arterial embolization (TAE) after visualizing extravasation due to rupture of hepatocellular carcinoma (HCC)].[肝细胞癌(HCC)破裂出血造影剂外渗后经导管动脉栓塞术(TAE)的成功经验]
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Abdom Radiol (NY). 2018 Jan;43(1):218-230. doi: 10.1007/s00261-017-1281-6.
2
Fatal septic complication of transcatheter chemoembolization for hepatocellular carcinoma.
Cardiovasc Intervent Radiol. 1993 Sep-Oct;16(5):325-7. doi: 10.1007/BF02629168.
3
Primary liver cancer. Quadrennial review lecture.原发性肝癌。四年一度的回顾讲座。
Dig Dis Sci. 1986 Sep;31(9 Suppl):133S-146S. doi: 10.1007/BF01295995.
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Transcatheter arterial embolization in unresectable hepatocellular carcinoma.
Cardiovasc Intervent Radiol. 1990 Jun-Jul;13(3):135-9. doi: 10.1007/BF02575464.