超选择性动脉插管栓塞治疗肝血管瘤

Hyper selective hepatic artery embolization in treatment of hepatic hemangioma

目的评价用平阳霉素碘油乳剂超选择性动脉插管栓塞治疗肝血管瘤的临床应用和疗效.方法回顾性分析3年50例肝血管瘤经股动脉插管、选择性肝动脉造影后,采用超液化碘油加平阳霉素超选择性栓塞治疗肝血管瘤,最后用明胶海绵颗粒栓塞供血动脉;术后定期复查.结果所有病历1次手术成功,术后并发症少,术后3～6mo复查所有瘤体均有不同程度的缩小,未见复发.结论平阳霉素碘油乳剂超选择动脉插管栓塞是治疗肝血管瘤的是理想的方法,其疗效显著,安全性好,可作为首选.

Objective To investigate and evaluate the clinical value and the rapeutic effect of pingyang mycin lipiodol emulsion in treatment of hemangioma of liver. Methods Fifty patients with hepatic angioma were treated with Pingyang mycin lipiodol emulsion（PLE） by transcatheter arterial embolization puncturing femoral artery with Seldinger＇s technology in recent 3 years. The supplying artery of the tumors were embolized by gelgelfoam particles. Every patient should be re-examined after the therapy. Results All of the tumors shrink in different degrees after the therapy for 3 - 6 months, occasionally with fewer complications and no recurrence. Conclusions The transcatheter arterial injection of Pingyang mycin lipiodol emulsion to treat hemangioma of liver is a good way in therapy of hepatic he mangioma, safe and effective with fewer complications, and should be the first line of therapy.