摘要
目的评价血管内栓塞治疗肝动脉假性动脉瘤（HAPA）的疗效和对肝功能的影响。资料与方法8例HAPA患者行选择性腹腔动脉造影明确动脉瘤的部位后，再超选择至载瘤动脉进行血管内栓塞治疗。栓塞术后随访3—60个月，观察临床和肝功能情况。结果8例血管造影均明确诊断。其中肝外型4例，肝内型4例；7例用弹簧圈或微弹簧圈栓塞，1例单纯明胶海绵颗粒栓塞。栓塞术后造影复查8例HAPA均消失。动脉瘤破裂出血患者出血均停止。阻塞性黄疸的患者术后1周黄疸消褪。1例单纯明胶海绵颗粒栓塞者术后3天出血复发；7例钢圈栓塞者无出血和HAPA复发，影像学复查4例HAPA消失，3例HAPA缩小、机化。肝功能检查，2例转氨酶一过性轻度升高[谷-草转氨酶（AST）达286U／L，谷-丙转氨酶（ALT）达103U／L）]，2例栓塞前肝功能异常栓塞后1周恢复正常；余4例肝功能无异常改变。结论弹簧圈血管内栓塞治疗HAPA疗效好、并发症少。选择性肝动脉弹簧圈栓塞，对肝功能无明显影响。
Objective To evaluate the therapeutic value and affect for liver function of transcatheter embolization in patient with hepatic artery pseudoaneuryms. Materials and Methods 8 patients with hepatic artery pseudoaneuryms were performed to selective angiography and treated with transcatheter embolization. 3 to 60 months was followed up to observe clinical effect and liver function after transcatheter embolization. Results Angiography clearly showed location, formation or fending artery of pseudoaneurym in 8 cases. The pseudoaneuryms located at extrahepatic area in 4 cases and located at intrahepatic area in 4 cases. Repeated anglography depicted complete obliteration of the pseudoaneuryms after embolization in all patients. The patients with ruptured pseudoaneuryms active bleeding were stopped immediately after embolization. 7 patients who were embolized by use of coils or microciols were not reoccurred of pseudoaneuryms or active bleeding. 1 patient who was embolized by use of gelatin sponge occurred rebleeding 3 days after the embolization. Pseudoaneuryms disappeared in 4 cases. The pseudoaneuryms became shrunk in 3 cases. 2 patients had a temporary increase of transaminases. Liver function recovered to normal in one week after embolization in 2 cases. The liver function was normal in 4 cases. Conclusion Coils embolization is a safe and effective treatment for the patients with hepatic artery pseudoaneuryms. Liver function is not significant influenced after selective hepatic artery embolization.
出处
《临床放射学杂志》
CSCD
北大核心
2007年第12期1269-1272,共4页
Journal of Clinical Radiology
关键词
假性动脉瘤
肝动脉
栓塞
治疗
Pseudoaneuryms Hepatic artery Embolization Treatment
