经过动脉化学栓塞后的肝死和胆管狭窄:临床特征和内镜方法
Silvia Cocca1, Lorenzo Carloni2, Margherita Marocchi3
1Gastroenterology and Endoscopy Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena 41121, Italy. silvia.cocca@gmail.com.
World journal of clinical cases
|January 8, 2024
概括
跨动脉化学栓塞 (TACE) 是一种常见的治疗不可切除的肝癌. 虽然通常是安全的,但罕见的并发症,如胆道狭窄,可能会发生,需要及时诊断和管理,以防止严重的健康问题.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
背景情况:
- 肝癌,特别是肝细胞癌 (HCC),是全球癌症相关死亡的主要原因.
- 对HCC的治疗决定取决于瘤负担,肝功能和患者状态.
- 超动脉化血栓化 (TACE) 是无法切除的HCC的主要治疗方法,无需移植资格,并保持动脉供应.
研究的目的:
- 为了突出TACE的安全概况.
- 讨论TACE后可能发生的严重不良事件.
- 为了强调早期诊断诸如胆道狭窄等并发症的重要性.
主要方法:
- 审查TACE作为HCC的治疗方式.
- 对常见和罕见的TACE后并发症的分析.
- 讨论胆道狭窄的诊断和管理方面的考虑.
主要成果:
- TACE通常是安全的,后TACE综合征影响~90%的患者.
- 严重的并发症,虽然很少见,包括双瘤,败血症,肝功能衰竭,毒性和肝硬化.
- 胆管狭窄是一种罕见但严重的TACE后缩并发症,可能导致感染和肝损伤.
结论:
- TACE是一种有效的治疗不可切除的HCC.
- 警罕见但严重的并发症,如胆道狭窄至关重要.
- 及时诊断和并发症的管理对于预防长期后果至关重要.
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