选择性肝动脉栓塞治疗巨大肝血管瘤13例

• 作 者: 冯凯 邓斌
• 机 构: 湖北省老河口市第一医院放射介入科,湖北省老河口市第一医院普外科,
• 出 处: 中国实用医药
• 发表日期: 2008年35期
• 关键词: 肝血管瘤 血管造影 栓塞 治疗性

目的探讨选择性肝动脉栓塞治疗肝血管瘤的临床疗效。方法对13例有临床症状的巨大肝血管瘤患者,经股动脉插管、选择性肝动脉造影后,采用平阳霉素超液化碘油乳剂栓塞治疗。结果所有病例在栓塞治疗2周～1个月临床症状消失,症状缓解率为100%。随访3～12个月,10例肿瘤缩小25%以上,3例缩小25%以内,有效率为76.9%。所有患者术后反应轻,无严重并发症。结论选择性肝动脉栓塞治疗有临床症状的巨大肝血管瘤疗效肯定,值得推广应用。

Objective To investigate the clinical efficacy of selective hepatic artery embolization in the treatment of hepatic hemangiomas. Methods Thirteen patients with giant hepatic hemangioma with clinical symptoms were treated with PYM lipiodol emulsion embolization through femoral artery catheterization and selective hepatic artery angiography. Results In all cases, the clinical symptoms disappeared after embolization for 2 weeks to 1 month, and the rate of symptom relief was 100%. Followed up for 3 to 12 months, 10 cases of tumor shrink more than 25%, 3 cases reduced within 25%, the effective rate was 76.9%. All patients had mild postoperative reaction and no serious complications. Conclusion Selective hepatic arterial embolization is effective in treating giant hepatic hemangiomas with clinical symptoms and is worth popularizing and applying.