平阳霉素超液化碘油及明胶海绵治疗肝血管瘤的疗效分析

Study on Treatments of Hepatic Angioma with Ultra-liquified Lipiodol Pingyangmycin and Gelatin Sponge

目的评价平阳霉素超液化碘油及明胶海绵栓塞肝海绵状血管瘤的临床疗效。方法对18例肝海绵状血管瘤患者采用Seldinger技术股动脉插管，将导管超选择至肿瘤供血动脉，缓慢注入利多卡因5～10mL及平阳霉素超液化碘油10～15mL，以及适量明胶海绵颗粒。术后3～15个月B超、CT随访观察肿瘤栓塞前后直径大小变化、11名床症状缓解及并发症情况。结果18例肝海绵状血管瘤均见平阳霉素超液化碘油完全充填。病灶完全消失5例，缩小50％以上10例，缩小50％以下3例。临床症状明显好转，无明显并发症。结论平阳霉素超液化碘油及明胶海绵治疗肝海绵状血管瘤疗效良好，微创、安全、并发症少。

Objective To evaluate the clinical findings of hepatic angioma treated with ultra - liquified lipiodol pingyangmycin（PYM） and gelatin sponge. Methods 18 cases were operated with Seldinger technology, and catheter was induced to tumor＇s surportive artery, then 5- 10 mL of lidocaine, 10- 15 mL of ultra- liquified lipiodol PYM and moderate gelatin sponge particals were injected slowly and in turns. The tumor diameter on B- ultrasound and computed tommograph（ CT） images, symptoms and complications were contrastly studied preoperation and post - operation from 3 to 15 months after operation. Result Among 18 cases of hepatic angioma full of ultra- liquified lipiodol PYM, lesions were completely disappeared in 5 cases, and lesion volume became smaller more than 50 percent in 10 cases, less than 50 percent in 3 cases. Symptoms were clearly improved, and complications were not evident. Conclusion Hepatic angioma treated with ultra- liquified lipiodolPYM and gelatin sponge is with micro- damage, more safety and less complication.