肝血管瘤42例介入治疗

Forty-two cases interventional therapy of hepatic hemangioma

目的探讨介入方法超液化碘油-平阳霉素经导管内栓塞治疗肝血管瘤的效果。方法回顾性分析42例肝血管瘤病例,超液化碘油与平阳霉素混成乳剂经导管超选择性肝动脉栓塞。结果除2例患者血管瘤瘤体直径>2cm未行栓塞治疗,其余40例均实施了栓塞。其中28例行右肝动脉栓塞,12例行肝左动脉栓塞。栓塞后临床症状减轻,肿瘤血供中断,瘤体缩小及肿瘤内碘油均匀聚集。结论超液化碘油-平阳霉素治疗肝血管瘤可致肿瘤大部分完全坏死,达到外科手术切除效果。

Objective To investigate the effects of percutaneous ultraselective hepatic artery, embolization in treatment of hepatic hemangioma.Methods Retrospective analysis-42 patients with hepatic hemangioma,which had been treated with uhraselective hepatic artery embolization.Results 40 cases were treated succesfully,Two cases were not treated because turner diameter was less than 2 cm.In these, 32 cases were operated in fight hepatic artery.And in left hepatic artery in other cases.After treatment, blood supply of tumor suspehd and volume of tumor decreased, patients symptom alleviated.Conclusion Percutaneous uhrselective hepatic artery embolization with suspension of lipiodo and BleomycinA5 was effective in hepatic hemangioma and almost same effect with surgical operation.