肝动脉栓塞治疗肝脏巨大血管瘤疗效探讨

Treatment of Huge Hepatic Hemangioma by Intra-hepatic-arterial Embolization

目的探讨肝脏巨大海绵状血管瘤(HCHL)的介入治疗方法与疗效。方法20例肝脏巨大海绵状血管瘤的肝动脉内注入平阳霉素碘油乳剂(PLE),观察其栓塞前后肿瘤直径变化、临床症状的缓解和并发症发生情况。结果 PLE栓塞后3～6个月复查CT,肿瘤直径明显缩小,临床症状大部分缓解,无严重并发症发生。结论 PLE肝动脉栓塞HCHL疗效良好,微创、安全、副作用少,可作为首选的治疗方法。

Objective To study the methods and effectiveness of interventional treatment for huge cavernous hemangioma of liver （HCHL）. Methods Twenty patients with HCHL were embolized by intra-hepatic-arterial pingyangmycin-lipiodol emulsion （PLE）.The changes of tumor diameter were measured and compared before and after the embolization. The relative clinical symptoms and complications were observed. Results CT was performed 3-6 months after treatment, the tumor diameter significantly decreased after PLE embolization. The relative clinical symptoms were significantly released. No severe complications occurred. Conclusion The PLE embolization in hepatic cavernous hemangioma is reliable, safe, minimally invasive, and with little side effect. This therapy, therefore, should be the first choice of treatment for the cavernous hcmangioma of liver.