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桡动脉外周血管介入治疗肝癌的临床效果

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目的 探究肝癌患者经桡动脉途径行外周血管介入治疗的可行性与安全性.方法 选取80例肝癌患者,随机分为对照组(40例)及观察组(40例).对照组给予经股动脉外周血管介入术,观察组给予经桡动脉外周血管介入术.比较2组穿刺时间、穿刺成功率、手术成功率,住院相关指标(住院费用、住院时间、术后住院时间),曝光剂量、曝光时间、手术时间及相关并发症发生情况.结果 观察组穿刺时间、住院时间、术后住院时间明显低于对照组(P<0.05);2组穿刺成功率、手术成功率、曝光剂量、曝光时间、住院费用及手术时间比较无明显差异(P>0.05).观察组并发症发生率为2.50%,明显低于对照组的20.00%(P<0.05).结论 肝癌患者经桡动脉及股动脉进行外周血管介入术效果相当,但经桡动脉介入术患者恢复更快,安全可行.
Clinical Effect of Peripheral Vascular Interventional Therapy of Radial Artery on Liver Cancer
Objective To investigate the feasibility and safety of peripheral vascular intervention in patients with liver cancer via the radial artery route.Methods A total of 80 patients with liver cancer were randomly divided into the control group(40 cases)and the observation group(40 cases).The control group was given transfemoral peripheral vascular intervention,and the observation group was given transradial peripheral vascular intervention.The 2 groups were compared,including puncture time,puncture success rate,surgical success rate,hospitalization-related indexes(hospitalization expenses,hospital stay,postopera-tive hospital stay),exposure dose,exposure time,operation time and related complications.Results The puncture time,hospital stay and postoperative hospital stay in the observation group were significantly lower than those in the control group(P<0.05),and there were no significant differences in puncture success rate,surgical success rate,exposure dose,exposure time,hospitaliza-tion cost and operation time between the 2 groups(P>0.05).The complication rate in the observation group 2.50%was signifi-cantly lower than that in the control group 20.00%(P<0.05).Conclusion The effect of peripheral vascular intervention in pa-tients with liver cancer is comparable to that of transradial artery and femoral artery,and the recovery of transradial artery is fas-ter,which is safe and feasible.

Peripheral vascular interventionRadial arteryHepatocarcinomaViabilitySecurity

李彬、王忠、王进

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473000 河南省南阳市第一人民医院

外周血管介入 桡动脉 肝癌 可行性 安全性

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(6)