摘要
目的评价和分析平阳霉素碘化油乳剂治疗肝海绵状血管瘤介入栓塞的临床疗效;方法对25例经腹部B超,腹部CT平扫+动态增强扫描确诊的大小不等、单发及多发肝海绵状血管瘤,瘤体直径最大30cm、最小4cm,采用Seldinger技术股动脉插管,导管超选入肝海绵状血管瘤供血动脉,缓慢推注平阳霉素16～24mg+碘化油8～15ml,最后用明胶海绵颗粒及条栓塞治疗,所有病例术后随访6～12月;结果25例患者术后6到12月后复查,24肿瘤有不同程度缩小,1例患者变化不明显,有效率达96%;结论介入栓塞治疗为肝海绵状血管瘤治疗行之有效的方法之一。
Objective： To evaluate the transcatheter embolization with Peplomycin- lipiodol emulsion in treating cavernous hemangioma of liver. Methods： 25 cases with cavernous hemangioma of liver were diagnosed by B-mode ultrasound, abdomen CT scan. All cases were used Seldinger technique to puncture femoral artery to enter feeding artery of cavernous hemangioma. Peplomycin 16-24mg and lipiodol 8-15ml were injected, and in the end gelfoam particle and strip for embolotherapy. All cases were followed up for 6-12 months. Results： In the follow-up, 24 hemangiomas were decreased in size, and 1 case without changes. The effective rate was 96%. Conclusion： It is effect of transcatheter embolization in treating cavernous hemangioma of liver.
出处
《当代医学》
2009年第23期435-436,共2页
Contemporary Medicine
关键词
肝
血管瘤
栓塞术
liver
hemangioma
transcatheter embolization
