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Intrahepatic biloma formation after transcatheter arterial chemoembolization for hepatocellular carcinoma: CT findings and significance
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 3
- DOI:
- 10.3760/j.issn:1005-1201.2006.03.005
- Key Word:
- 癌,肝细胞;放射学,介入性;手术后并发症;胆道疾病
Abstract： 目的探讨肝癌经动脉穿刺化疗栓塞(transcatheter arterial chemoembolization, TACE)治疗后肝内胆汁瘤形成的CT表现和临床意义.方法搜集我院2000年至2004年经CT检查系列随访的肝癌TACE后患者共3948例.观察TACE术后有无胆管阻塞和扩张等表现.结果共发现35例(0.9%,35/3948)胆汁瘤,其中沿Glisson鞘呈分支样分布的低密度区4例,残癌病灶周围柱状改变7例,囊状改变33例.结论胆汁瘤是肝癌介入治疗后并发症之一,随病情进展可以有不同CT表现.治疗上可采取以内科保守治疗为主的多种方法.
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