经左侧鼻烟窝部远端桡动脉入径行肝动脉化疗栓塞术的优势

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[Abstract]ObjectiveTo explorethetherapeuticmethodsandadvantagesof transcatheterarterial chemoembolization throughtheradialarteryappoachatthdistalendoftheleftsnufboxinelderlypatientsMethodsAtotalof956elderlypatints whounderwenttranscatheterarterialchemoembolzatinintheFirstHospitalofJilinUniversitfroJulyO2OtoJuly2wreretro spectively analyzed. They were divided into a femoral artery group （ χn=779 ），aproximal radial artery group （ n=14 ）and a left snuffbox distal radial artery group（ n=163 ）according to different access diameters.Postoperative vascular complications，comfort and relatedsurgicalindcatorserecomparedmong tethreegroups.ResultsThereweresignificantdiferencsintheinidenceofostoperative thrombosis among the three groups （ P<0.05 ）．The incidence of postoperative thrombosis in the proximal radial artery group washigher than that in the femoral artery group and the left snuffbox distal radial artery group （ P<0.05 ）.The differences in the incidence rate of postoperative limb pain and numbness among the three groups had statistical significance （ P<0.05 ）；the incidence rate of postoperativelimbpainandnumbesofsurgicallimbsinfemoralarterygroupashgherthantatintheleftsuboxdistaladial artery group （ P<0.05 ）.There were significant diffrences among the three groups in postoperative limb compresion time，postoperativebedrstiosoperativedeflatio/decopresitis，uulatiepuncuretisofpproachrteyndcostofsio materials （ P<0.05 ）.Among them，the left snuffbox distal radial artery group had the shortest compression time of operated limb， postoperativebedrestime，postoprativedeflation/decompresiontimes，cumulativepuncturetimesofaproachartery，andostof compressionmaterialswereelativelyless.ConclusionForelderlypatients，ranscatheterarterialchemotherapythroughthedistaladialarteryofthlftsufboxcansimpliftheorkandrducethetreatmentworkload，whilethepatietsavefewervasularoplications，high comfort and less cost，which is conducive to clinical promotion.

[Key words] Distal radial artery；Hepatic artery；Chemotherapy 金鑫，等．经左侧鼻烟窝部远端桡动脉入径行肝动脉化疗栓塞术的优势

肝动脉化疗栓塞术作为原发性肝癌常见介入治疗手段，应用较多的入径为股动脉穿刺[1]。（剩余7037字）