Risk Factors Analysis of Post TACE Syndrome in Patients with Primary Liver Cancer
Objective To investigate the clinical manifestations and related factors of syndrome after percutaneous arte-rial chemoembolization(TACE)for primary liver cancer.Methods The clinical data of 89 patients with primary liver cancer were retrospectively analyzed,all of whom were treated with TACE.They were divided into 2 groups according to whether postoper-ative syndrome occurred.The basic data of the 2 groups were collected by consulting case data and telephone follow-up for Logistic regression analysis,and the independent risk factors affecting postoperative syndrome of primary liver cancer were obtained.Re-sults A total of 44 of 89 patients developed postoperative syndrome(49.44％(44/89)).There were 15 cases of nausea and vomiting(34.09％),8 cases of fever(18.18％),7 cases of hepatic pain(15.91％),9 cases of abdominal distension(20.45％),and 5 cases of liver function impairment(11.36％).There were significant differences in age,cirrhosis,iodide dose,tumor size and Child grade between the 2 groups(P＜0.05).Multiple factors showed that age ≥60 years old,cirrhosis,iodide dose ≥10 ml,massive tumor and Child grade B were high risk factors for TACE postoperative syndrome of primary liver cancer(P＜0.05 and OR＞1).Conclusion The risk of syndrome after TACE surgery for primary liver cancer is high,which is closely related to age ≥60 years,cirrhosis,iodide dose ≥10 ml,massive tumor and Child grade B.Targeted intervention should be carried out as soon as possible to reduce the incidence of postoperative syndrome.
万方数据
维普
