平阳霉素碘油栓塞术治疗肝海绵状血管瘤临床分析

目的评价平阳霉素碘化油乳剂肝动脉栓塞治疗肝海绵状血管瘤的疗效。方法肝海绵状血管瘤38例,采用Salinger技术股动脉插管,导管超选入肝海绵状血管瘤供血动脉,缓慢注射平阳霉素碘化油乳剂。结果 38例患者治疗46次,36例肿块基本消失,1例肿块缩小90%,1例肿块缩小80%,临床症状基本消失,无严重并发症。结论平阳霉素碘化油乳剂肝动脉栓塞治疗肝海绵状血管瘤创伤小、恢复快、疗效好,应成为肝海绵状血管瘤首选治疗方法。

Objective The aim of this study is to evaluate the clinical effectiveness of transarterial embolization with pingyangmycin-lipiodol emulsion （PLE） in treatment of hepatic cavernous hemangioma （HCH）. Methods 38 patients with HCH, solitary in 26 patients and multiple in 12, were treated with the PLE embolization via arterial catheter. HCH was smaller than 5 cm in 15 cases, between 5 cm and 10 cm in 19 cases, and larger than 10 cm in 4 cases. The PLE mixture was slowly administered into the diseased hepatic artery using Seldinger Ultraselective Catheter via arteria femoralis. Results 46 embolizations were performed in total. In 36 cases HCH was successfully treated;one was embolized up to 90%and one to 80%. The clinical symptoms were abolished with no severe complications. Conclusion PLE intra-arterial embolization in treatment of HCH should be considered as the ifrst option in HCH treatment with the advantages of minimal wound, quick recovery and efifciency.