肝巨大海绵状血管瘤的介入栓塞治疗

Huge hepatic cavernous hemangioma treated with interventional embolization

目的 探讨肝脏巨大海绵状血管瘤 (HHCH)的介入治疗与疗效。方法 经导管注入超液化碘油和平阳霉素 (PYM )混合乳剂 ,再用明胶海绵颗粒适量栓塞肿瘤周围小血管治疗肝巨大海绵状血管瘤 12例。结果 所有病例术前肝动脉造影显示“枝上挂果、早出晚归”的异常血管湖样改变 ;术后肿瘤均有缩小 ,其中 10例明显缩小 ,异常血管湖消失。

Objective To study the therapeutic effects of interventional embolization in treating Huge hepatic cavernous hemangioma (HHCH). Methods 12 cases were ducted with emulsion mixture of lipiodol\|unltrafluid and PYM, and then peripheral small vessels of the tumor were embolized with gelatin spongy particles. Results Preoperative liver opacification showed multiple abnormal vascular lakes in early arterial phases, known as ' hanging nut on a twing' sing and 'early leaving but late returning' sign. Tumors all diminished, 10 significantly, after operation, and abnormal vascular lakes disappeared. Conclusion Combined embolization of gelatin spongy particles with emulsion mixture of lipiodol\|unltrafluid and PYM is an optimum treatment for HHCH.