肝脏巨大海绵状血管瘤碘油栓塞治疗及其血供研究

Investigation on BIood Supply and Embolization Treatment of Cavernous Hemangioma of the Liver

笔者在肝海绵状血管瘤血供来源研究的基础上，对４５例进行了治疗。２０例行肝动脉支插管，用明胶微球＋碘化油乳剂进行肿瘤栓塞治疗，其中８例经股动脉穿刺肝动脉支插管。均能达到碘油沉积、瘤体缩小的目的。并对其机理、疗效、Ｘ线征象和瘤体纤维化关系进行分析。

Based on a study of blcod supply of cavernous hemangioma of the liver(CHL)bymeans of portal verography,hepatic staining with methylene blue through portal vein during operationand vessel cast of the specimen,45 patients with CHL were treated.Among them.20 patients weretreated by embolization with gelfoam microsphere and lipiodal via hepatic artery catheterization.Directintraoperative catheterization was done in 12 cases while Seldinger technique via femoral artery in the re-maining 8 cases.Follow up studies with plain film、CT、US or NM demonstrated lipiodal accumulationand decrease in the size of tumor.The therapeutic effect and mechanism involved were discussed.Thismethod has proved to be effective in the teatment of CHL.