选择性肝动脉栓塞治疗巨大肝血管瘤13例

Analysis of 13 Cases the treatment with selective hepatic arteriography and embolization in giant hepatic hemangioma

目的探讨选择性肝动脉栓塞治疗肝血管瘤的临床疗效。方法对13例有临床症状的巨大肝血管瘤患者,经股动脉插管、选择性肝动脉造影后,采用平阳霉素超液化碘油乳剂栓塞治疗。结果所有病例在栓塞治疗2周～1个月临床症状消失,症状缓解率为100%。随访3～12个月,10例肿瘤缩小25%以上,3例缩小25%以内,有效率为76.9%。所有患者术后反应轻,无严重并发症。结论选择性肝动脉栓塞治疗有临床症状的巨大肝血管瘤疗效肯定,值得推广应用。

Objective To investigate the clinical effect of selective hepatic arteriography and embolization in giant hepatic hemangioma. Methods 13 cases with clinical symptom were selected to selective hepatic arteriography by femoral catheterization, and embolie with lipiodol-uhrafluida and pingyangrnycin. Results As a result, after embolization, the clinical symptoms of all eases disappeared in two weeks ~ one months, and followed by 3 ~ 12 months, the turnout was decreased 〉 25% in 10 eases, and decreased 〈 25% in 3 cases, the total effec- tive rate was 76. 9%. The postoperative reactions were slight, and no severe complications. Conclusion Our findings suggested that selective hepatic arteriography and embolization is a good method of treatment in giant hepatic hemangioma.