平阳霉素碘油乳剂动脉栓塞治疗肝海绵状血管瘤

Transcatheter Arterial Chemoembolization with Pingyangmicin Lipiodol Emusion in the Treatment of Hepatic Cavernous Hemangiomas

为探讨平阳霉素碘油乳剂(PLE)治疗肝海绵状血管瘤(HCH)的临床疗效及并发症的防治,对22例经CT平扫及增强证实的肝海绵状血管瘤,作超选择肝动脉插管,灌注PLE,然后用明胶海绵栓塞。结果表明,介入治疗后病人症状改善,病灶有不同程度缩小。其中18例3个月缩小50%以上,15例1年B超复查瘤体消失。认为经肝动脉灌注PLE是治疗HCH安全有效的方法。

To evaluate of evaluate of therapeutic effectiveness and the side effects of transeatheter arterial chemoembolization （TACE） for cavemous hemangiomas of the liver, 22 patients with hepatic cavernous hemangiomas, proved by contrast - enhanced CT, were treated by TAE with pingyangmicin lipiodol emusion and gelfoam. The result showed that the treatment response was assesssd on follow- up ultrasound and color Doppler amd/or contrast - enhanced helical computed to mography. The symptoms were relieved in 22 patients after the treatment with TAE, the tumor in 18 patients regressed 50% in the mean size after embolization during 3 months of follow - up, the tumor in 15 patients was disappeared during 3 months of follow - up. It concludes TCE of hemangiomas is a effective procedure in the therapy of cavernous hemangiomas of the liver.