摘要
目的:评价超选择性肝动脉栓塞治疗肝血管瘤的临床应用价值。方法:本组22例,男9例,女13例。对22例肝海绵状血管瘤的供血动脉置管造影并将导管超选择插入血管瘤供血动脉,一次或分次输注平阳霉素和超液化碘油乳剂。最后用明胶海绵颗粒栓塞供血动脉。术后定期复查。结果:血管瘤供血动脉超选择性插管操作成功率100%,血管造影复查显示碘油聚积于肿瘤内,肿瘤血管消失,供血动脉闭塞,1～6个月后复查肿瘤不同程度缩小,其中缩小50%以上者15例,不足50%者7例。未出现严重的栓塞综合征反应及并发症。结论:超选择性肝动脉造影栓塞术治疗肝海绵状血管瘤是安全、简单、有效、其并发症少,可以作为治疗症状性肝海绵状血管瘤首选诊治方法。
Objective：To study the clinical value of hyper selective hepatic artery embolization in treatment of symptomatic cavernous hemangioma of liver.Methods：Twenty two patients with hepatic cavernous hemangioma were tretaed with hyper selective hepatic artery embolization using Pingyangmycin - lipiodol hydrochloride emulsion and gelatinesponge,including 9 male and 13 females.Results： Success rate of embolization was 100%.Angiograms showed that tumors were fully filled with iodized oil,the tumor blood vessels disappeared and supplying arteries were closed.1 ~ 6months later Tumors disappeared or became smaller.15 cases were decreased more than 50%and 7cases were less than 50%.No serious embolism syndrome and complications were observed.Conclusion：HHAE in treatment of hemangioma of liver is a safe,simple,less complications and effective method.It may be considered as method of choice in treatment of symptomatic cavernous hemangioma of liver.
出处
《牡丹江医学院学报》
2011年第6期12-15,共4页
Journal of Mudanjiang Medical University
关键词
肝肿瘤
海绵状血管瘤
栓塞
治疗
平阳霉素碘油乳剂
Hepatic tumour
cavernous hemangioma
therapeutic
Embolization
pigyangmycin- lipiodol emulsion
