肝血管瘤的超选择性肝动脉造影及栓塞治疗（附12例报道）

Super- selective hepatic arteriography and embolization therapy for hepatic hemangioma： an analysis of 12 cases

目的评价超选择性肝动脉造影及栓塞治疗肝血管瘤的临床应用价值。方法对12例有临床症状的肝血管瘤患者，经股动脉插管行超选择性肝动脉造影后，采用平阳霉素超液化碘油乳剂及明胶海绵颗粒栓塞治疗。结果在栓塞治疗2周～2个月后，10例临床症状消失，2例临床症状明显缓解，症状缓解率为100％。随访4～12个月，17个瘤体有不同程度缩小，其中有14个瘤体缩小1〉50％。所有患者术后反应轻，对症处理后4天症状消失，无严重并发症发生。结论超选择性肝动脉造影及栓塞治疗肝血管瘤具有疗效确定、对患者创伤小、并发症少、恢复快的特点，可作为肝血管瘤首选的治疗方法，值得临床推广应用。

Objective To evaluate the application of super - selective hepatic arteriography and embolization thera- py to treat hepatic hemangioma. Methods A total of 12 patients were included into the current study who suffered from hepatic hemangioma with clinical symptoms. They underwent super - selective hepatic arteriography through catheterization of the femoral artery before embolization therapy with pingyangmycin lipiodol emulsion （PLE） and gelfoam particles. The clinical symptoms and complications were observed after treatment. Results Two weeks to two months after embolization therapy, ten patients reported disappearance of clinical symptoms and two presented obviously relieved symptoms, with a remission rate of 100%. All patients were followed - up for 4 to 12 months. Reduced volumes were measured in 17 tumors, especially ≥ 50% shrinkage in 14 tumors. The adverse reactions reported were slight. The symptoms disap- peared four days after symptomatic treatment, without severe complications. Conclusion Super - selective hepatic arte- riography followed by embolization therapy is characterized in definite efficacy, small incision, little complications and fast recovery, which can be adopted as the first choice to treat hepatic hemangioma in clinical practice.