肝血管瘤动脉造影诊断与栓塞治疗

Treatment with hepatic arteriography and embolization in cavernous hemangioma of the Uver: report of 25 cases

为了探讨肝血管瘤(CHL)的肝动脉造影诊断及特异性鉴别诊断征象,总结栓塞治疗效果,寻求理想栓塞方法,回顾分析了25例CHL选择性肝动脉造影的表现与鉴别诊断征象,观察平阳霉素(PYM)超液态碘化油乳剂栓塞治疗的效果,随访6-48个月。CHL典型的瘤体显影形态,造影剂染色时间的特点,可与肝癌鉴别,动-静脉瘘的出现作为鉴别依据缺乏特异性;25例栓塞治疗,其中1次栓塞18例,2次栓塞7例,瘤体均缩小达50％以上,临床有效率达100％,无严重并发症发生。选择性肝动脉造影是诊断肝血管瘤较理想的方法,介入栓塞治疗应作为首选方法推广应用。

To search for the speciality and shows of cavernous hemangioira of the liver in hepatic arteriography to improve the efficiency of intervention. We analysed the speciality and features of caverncus hemangioma of the liver in hepatic arteriography. 25 cases were selected to embolic with lipiodol ultra - fluida and PYM and followed by 6 - 48 months. According to its shape and sign of stainingtime, liver hemangioma was distincted from liver cancer, howe/er, A- V fistula failed to distinguish liver hemangioma form liver cancer. Embolization was successful in 18 cases firstly and 7 cases secondly. All hemagioma sizes reduced beyond 50 percent. The effective rate reached 100 percent. All cases had no side - effect. Selectic arteriography and embolization is a good way in diagnosis and therapy of cavernous hemangioma of liver.