论文部分内容阅读
目的研究化疗药物，碘油及明胶海绵三联化疗栓塞法（ＬｐＧｓＴＡＥ）治疗小肠平滑肌瘤术后肝转移的疗效．方法采用Ｓｅｌｄｉｎｇｅｒ方法行超选择肝固有动脉，肝右动脉插管及数字减影造影术（ＤＳＡ）及ＬｐＧｓＴＡＥ放射介入治疗小肠平滑肌瘤术后肝转移３例．结果本组３例在介入治疗前和治疗后肝ＣＴ片对比，肝内最大转移灶直径均有明显缩小，其中１例缩小６０％，其余转移灶有不同程度缩小．未发现新的转移灶．均存活至今．结论细胞形态学为良性，而生物学行为表现出恶性的转移性小肠平滑肌瘤是少见的，手术后肝转移，ＬｐＧｓＴＡＥ是一种较理想有效的保守治疗．
Objective To study the effect of chemotherapy, lipiodol and gelatin sponge triple embolization embolization (LpGsTAE) in the treatment of hepatic metastasis after intestinal leiomyoma surgery. Methods Seldinger method was used to superselect hepatic artery, right hepatic arterial cannulation and digital subtraction angiography (DSA) and LpGsTAE radiation interventional therapy for hepatic metastasis of small intestinal leiomyoma. Results Compared with the CT slices before and after the intervention in the 3 cases of this group, the diameter of the largest metastasis in the liver was significantly reduced, of which 1 case was reduced by 60%, and the remaining metastases were reduced in different degrees. No new metastases have been found. All survive so far. Conclusions The benign cell morphology, but the biological behavior of malignant metastatic small intestinal leiomyoma is rare. Postoperative liver metastasis, LpGsTAE is an ideal and effective conservative treatment.