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目的研究经肝动脉栓塞联合经皮穿刺注入无水酒精治疗海绵状血管瘤的方法和效果。方法将导管超选择插入17例肝血瘤的供血动脉,以碘油或超液态碘油、明胶海绵和(或)钢圈栓塞,一周后在超声引导下经皮穿刺多点注入酒精。结果所有病例均成功实施了栓塞治疗和无水酒精的注射。17例中有11例分别于术后1~12个月行CT或B超随访。瘤体缩小>50%者9例,>30%者2例。全部患者中临床症状消失者12例,明显减轻者5例,总有效率100%,术后无严重并发症。结论超选择性动脉栓塞联合经皮穿刺注入无水酒精在治疗肝海面状血管瘤上是安全、有效的首选方法。
Objective To study the method and effect of transcatheter hepatic arterial embolization combined with percutaneous needle injection of anhydrous alcohol in the treatment of cavernous hemangiomas. Methods The catheter was superselectively inserted into the donor artery of 17 patients with hepatic hemangioma and embolized with iodized oil or ultra-liquid iodized oil, gelatin sponge and / or steel ring. One week later, ultrasound was used to percutaneously inject alcohol. Results Embolization and water-free alcohol injection were successfully performed in all cases. Eleven of the 17 patients underwent CT or B-ultrasound follow-up 1 to 12 months postoperatively. Tumor reduction> 50% in 9 cases,> 30% in 2 cases. All patients with clinical symptoms disappeared in 12 cases, significantly reduced in 5 cases, the total effective rate of 100%, no serious postoperative complications. Conclusion Superselective arterial embolization combined with percutaneous puncture of anhydrous alcohol in the treatment of hepatic hemangioma is a safe and effective method of choice.