选择性肝动脉造影联合栓塞治疗肝血管瘤

Transcatheter selective hepatic arteriography and embolization in treatment of hepatic hemangioma

目的探讨肝血管瘤的选择性肝动脉造影表现及栓塞治疗效果。方法对26例肝血管瘤患者行选择性肝动脉造影并采用平阳霉素-超液化碘油乳剂进行栓塞治疗,术后随访3～12个月。结果所有病例肝动脉造影染色时间均呈特征性"早出晚归"及"爆米花状"征象;栓塞治疗后22例肝血管瘤体积缩小25%以上,4例缩小25%以内,有效率84.62%。所有患者术后反应较轻,无严重并发症。结论选择性肝动脉造影加栓塞是一种较理想的肝血管瘤诊断和治疗方法。

Objective To investigate the features of transcatheter selective hepatic arteriography and efficacy of embolization in hepatic hemangioma. Methods Twenty-six patients of hepatic hemangioma underwent transcatheter selective hepatic arteriography and embolization with Lipiodol-ultrafluida as well as Pingyangmycin, and were followed-up for 3-12 months after treatment. Results The ＂popcorn-like tumor stain＂ sign and ＂early fill-in and persistant staining＂ sign of hepatic arterial angiography were observed in all patients before embolization. After one time of embolization, the tumor size decreased more than 25% in 22 patients （84.62%）, less than 25% in 4 patients. No severe complication occurred. Conclusion Transcatheter selective hepatic arteriography and embolization is a favorable method of diagnosis and treatment for hepatic hemangioma.