目的闡明數(shù)字減影血管造影（DSA）監(jiān)控在區(qū)域性置管栓塞化療治療肝癌中的重要性。方法比較152例肝癌區(qū)域性置管中DSA監(jiān)控置管與注射美藍指導(dǎo)下置管的導(dǎo)管位置準(zhǔn)確性； 并對術(shù)后發(fā)生與置管有關(guān)的并發(fā)癥進行分析。結(jié)果DSA監(jiān)控置管準(zhǔn)確率肝動脈及門靜脈均為100%，注射美藍指導(dǎo)下置管肝動脈和門靜脈的導(dǎo)管位置準(zhǔn)確率分別為70.2%和76.1%，兩組比較差異有顯著性意義（P＜0.01)。術(shù)后有導(dǎo)管移位、肝動脈膽管瘺、導(dǎo)管阻塞、藥液外漏、硬化性膽管炎等并發(fā)癥。結(jié)論DSA指導(dǎo)下置管準(zhǔn)確，又能保證血管內(nèi)介入治療的徹底性； 術(shù)后行DSA監(jiān)控，以指導(dǎo)下一步的治療，并可防止并發(fā)癥的發(fā)生。
引用本文： 李明信,馬建青,郝春志. 區(qū)域性置管栓塞化療治療肝癌DSA監(jiān)控的意義. 中國普外基礎(chǔ)與臨床雜志, 2003, 10(2): 152-153. doi: 復(fù)制
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