中国康复理论与实践2018，Vol.24Issue(4)：472-476,5.DOI:10.3969/j.issn.1006-9771.2017.00.002
肝癌膈下动脉化疗栓塞术致脊髓损伤康复治疗1例报道
Rehabilitation of Spinal Cord Injury Occured after Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma via Inferior Phrenic Artery:A Case Report
刘宏炜 1李军 2杜良杰3
作者信息
- 1. 中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科,北京市100068
- 2. 首都医科大学康复医学院,北京市100068.
- 折叠
摘要
Abstract
Objective To further explore the complication of spinal cord injury occured after transcatheter arterial chemoemboliza-tion(TACE)for hepatocellular carcinoma via inferior phrenic artery. Methods The clinical and imaging data of one patient with spinal cord injury caused by TACE for hepatocellular carci-noma via inferior phrenic artery was retrospectively analyzed.The pathologic mechanism,risk factors and out-come of rehabilitative treatment were discussed after literature review. Results The abnormal opening of communicating branches between inferior phrenic artery and spinal cord blood supply-ing was the underlying mechanism inducing spinal cord injury after TACE. The risk factors included contrast agent,chemotherapy drug,embolic agent,and multiple interventional therapy,etc.Most patients returned almost to normal state within several months after early rehabilitation. Conclusion Spinal cord injury occurred after TACE for hepatocellular carcinoma via inferior phrenic artery is an ex-tremely rare complication.Most patients have a favorable outcome with early detection and timely rehabilitation.关键词
肝癌/化疗栓塞术/脊髓损伤/危险因素/康复/预后Key words
hepatocellular carcinoma/transcatheter arterial chemoembolization/spinal cord injury/risk factors/rehabili-tation/outcome分类
医药卫生引用本文复制引用
刘宏炜,李军,杜良杰..肝癌膈下动脉化疗栓塞术致脊髓损伤康复治疗1例报道[J].中国康复理论与实践,2018,24(4):472-476,5.
