中国普通外科杂志2016，Vol.25Issue(7)：973-978,6.DOI:10.3978/j.issn.1005-6947.2016.07.007
肝细胞癌患者介入手术后胆汁瘤发病因素与临床特点
Pathogenic factors and clinical features of biloma in hepatocellular carcinoma patients after interventional therapy
刘昭明 1李祯 2许丙辉 1刘洋 3齐双玉 1郑少华 1李恒力1
作者信息
- 1. 河北省衡水市哈励逊国际和平医院肝胆外科，河北 衡水 053000
- 2. 河北省衡水市哈励逊国际和平医院介入科，河北 衡水 053000
- 3. 河北省衡水市哈励逊国际和平医院超声科，河北 衡水 053000
- 折叠
摘要
Abstract
Objective: To investigate the causal factors and clinical features of biloma in hepatocellular carcinoma (HCC) patients following interventional procedures. <br> Methods: hTe clinical data of 500 HCC patients undergoing transcatheter arterial chemoembolisation (TACE) from January 2013 to January 2015 were reviewed. hTe risk factors for occurrence of postoperative biloma and its clinical features were analyzed. <br> Results: Biloma occurred in 45 (9.0%) of the 500 patients atfer operation. Results of statistical analysis identiifed that presence of bile duct dilatation, history of liver resection before TACE, non-superselective intubation and use of polyvinyl alcohol (PVA) particles were risk factors for biloma (allP<0.05). Of the 45 patients with biloma, 10 cases had clinical symptoms that mainly included jaundice and fever, the average diameter of the biloma was significantly larger than that in asymptomatic patients (8.12 mmvs. 21.84 mm,P<0.05), and the biloma was reduced in 8 cases and disappeared in 2 after aspiration drainage; 35 asymptomatic patients received regular review with imaging examinations. <br> Conclusion: For HCC patients with risk factors, preoperative assessment and preventive measures should be taken. Aspiration drainage should be performed in symptomatic biloma patients, and regular review and imaging examinations should be conducted in asymptomatic biloma patients, so as to give timely aspiration drainage for those with enlargement of biloma, which also can offer favorable results.关键词
癌,肝细胞/化学栓塞,治疗性/胆汁瘤Key words
Carcinoma, Hepatocellular/Chemoembolization, hTerapeutic/Biloma分类
医药卫生引用本文复制引用
刘昭明,李祯,许丙辉,刘洋,齐双玉,郑少华,李恒力..肝细胞癌患者介入手术后胆汁瘤发病因素与临床特点[J].中国普通外科杂志,2016,25(7):973-978,6.
