肝血管瘤的介入治疗

INTERVENTIONAL THERAPY OF HEPATIC HEMANGIOMA

目的 :探索肝血管瘤的最佳栓塞治疗方案 ,分析比较不同栓塞方法的疗效 ;方法 :45例肝血管瘤患者被分为两组 ,A组 1 6例 ,用平阳霉素碘化油乳剂进行栓塞 ,B组2 9例 ,用平阳霉素碘化油乳剂加明胶海绵微粒进行栓塞 ,比较两组治疗效果 ;结果 :所有病人经栓塞治疗后 6个月开始行CT扫描检查 ,A组中瘤体缩小 5例 ,保持稳定 1 1例 ,B组中瘤体缩小 2 0例 ,保持稳定 9例 ,两组统计学检验差别有显著性 (P <0 .0 5) ;结论 :平阳霉素乳剂治疗肝血管瘤有效 。

Objective:To investigate better therapeutic way for hepatic hemangioma(HHE) through comparison of different ways on embolic treatment.Mathods:45 cases of HHE were divided into two groups, 16 cases in group A, in which the embolic operation was performed by pingyangmycin and lipiodol. 29 cases in group B, in which the embolism was performed by pingyangmycin、lipidol and gelfoam.The efficiency of treatment was compared in both the group A and B. The all objects received the CT scan after six months embolization.Results:11of the group A had a stable change of tumor and the 5 case had decreased,In group B the change of tumor was stabilized in 9 cases and decreased in 20 cases. There is a difference Statistically between the two groups (P<0.05).Conclusion:It is efficiency for the treatment of the HHE with pingyangmycin and the effect of combination of embolization on HHE is better in fact.