选择性肝动脉栓塞治疗肝海绵状血管瘤

Treatment of Hepatic Cavernous Hemangioma with Pingyangmycin by Hepatic Artery Embolization

目的 研究使用平阳霉素碘油乳剂经肝动脉栓塞治疗肝海绵状血管瘤的方法和效果。 方法 对 2 6例肝海绵状血管瘤进行平阳霉素碘油乳剂经肝动脉栓塞治疗 ;将导管超选择插入肝血管瘤的供血动脉 ,以平阳霉素碘油乳剂栓塞 ,男 12例 ,女 14例 ,年龄 2 8～ 6 2岁 ,平均 4 4岁 ,术前均经US、SCT、DSA检查确诊。 结果 所有病例均成功实施了栓塞治疗 ;2 6例中有 2 1例分别于术后 1～ 12个月进行SCT或B超随访 ;瘤体缩小 >5 0 %者 16例 ,>30 %者 4例 ,其中B超随访肿瘤完全消失 1例 ;1例患者肿瘤缩小不明显。全部患者中临床症状消失 18例 ,明显减轻 6例 ,总有效率 92 % (2 4 / 2 6 ) ;术中及术后无严重并发症。 结论 平阳霉素碘油乳剂经肝动栓塞是治疗肝海绵状血管瘤的安全、有效的首选方法。

Objective To explore the effect of treatment of hepatic cavernous hemangioma with pingyangmycin iodine emulsion by hepatic artery embolization. Methods 26 patients with hepatic cavernous hemangioma were treated with pingyangmycin through hepatic artery.and selectively pluged the conduit in the artery of hepatic cavernous hemangioma to embolize it with pingyangmycin Iodine Emulsion.Female 14,male 12,average 44 years old (28-62).Diagnosed by US,SCT and DSA before operation. Results All patients were operated successfully,21 patients were followed by US or SCT in 1-12 months.There were 16 patients whose tumor decreaes was>50% that of decrease>30% was 4 cases,among which 1 case tumor vanish completely.one patient whose tumour didn't decrease.There were 18 patients whose symptoms vanished completely.6 patients whose symptoms alleviated.Total efficacy rate was 92%(24/26).There wre no complication during operation.Conclusion It is the first safe and effective methods that treat hepatic cavernous hemangioma with pingyangmycin Iodine Emulsion by hepatic artery embolization.