肝海绵状血管瘤的选择性肝动脉栓塞治疗

The Treatment of Hepatic Cavernous Hemangioma by Selective Hepatic Arterial Embolization (HAE)

目的：研究肝动脉栓塞治疗肝海绵状血管瘤的方法和效果。方法：采用Seldinger技术将导管超选择插入32例肝血管瘤的供血动脉，以超液化碘油、平阳霉素栓塞。结果：所有病例均成功实施了栓塞治疗。所有忠者分别于术后1～12个月行CT或B超随访。瘤体缩小〉50％者22例，瘤体缩小〉30％者10例。全部患者中，临床症状消失者18例，明显消失者14例，总有效率100％，术后无严重并发箍。结论：超选择性肝动脉橙塞是治疗肝海绵状血管瘤的安全、有效的首选方法。

Objective：To evaluate the effect and method of intra- arterial emblization in treatment of hepatic cavernous hemangioma. Methods： 32 patients, 26 females and 8 males, were treated by super - selective hepatic artery embolization with pingyangmycin lipiodal emulsion （PLE） with seldinger techniqne. Results：All patients had been embolized successfully, All cases were followed up by CT/USG for 1 -- 12 months. The size of tumor was decreased more than 50 % in 22 cases, more than 30 % in 10 cases, Symptoms of 18 patients were disappeared and relief was obvious in 14 cases. Total effective rate was 100 %, There was no significant complication in the group. Conclusion： HAE is a safe and effective method. It may be considered as the first method of choice on treatment of hepatic cavernous hemangioma.