Abstract: Objectiv To investigate the clinical efficacy of laparoscopic surgery combined with transhepatic artery embolization（TAE） for the treatment of patients with traumatic liver rupture. Methods 83 patients with traumatic liver rupture were admitted to our hospital between May 2015 and June 2018,and 41 received laparoscopic surgery,and 42 received laparoscopic surgery combined with TAE. Logistic regression analysis was applied to analyze the risk factors affecting postoperative infection in patients with traumatic liver rupture. Results At the end of one week post-operation,the hemostatic rate in combination group was 90.5%,significantly higher than 79.5% in laparoscopic surgery group （x²=3.938,P<0.05）;the incidence of postoperative abdominal infection occurred in 3 cases （7.1%） in the combined group,significantly lower than in 11 cases （26.8%） in the laparoscopic group （x²=5.734,P<0.05）;univariate and multivariate analysis showed that the degree of liver injury,intraoperative blood loss,operation time,white blood cell counts,diabetes mellitus and surgery were the risk factors affecting post-operative infection in patients with traumatic liver rupture （P<0.05）. Conclusion Laparoscopic surgery combined with TAE is effective in hemostasis of liver rupture,and it is an appropriate alternative for patients with traumatic liver rupture in emergency.

Key words: Traumatic liver rupture, Transhepatic artery embolization, Laparoscopic surgery, Infection