Segmental Embolization by Ethanol Iodized Oil Emulsion for Hepatocellular Carcinoma

The hemodynamic changes of portal vein before and after intra arterial infusion of ethanol iodized oil emulsion (EIOE) were studied in 4 healthy dogs. Segmental transcatheter arterial embolization (TAE) using EIOE was performed in 55 patients with hepatocellular carcinoma (HCC). Twenty patients subsequently underwent surgery. It was concluded that segmental TAE might lead to double embolization of both hepatic arteries and portal veins. It is a more effective therapeutic method for HCC localized in one or a few segments, as compared with conventional TAE.

经导管动脉超选择性插管栓塞治疗对肝多发海绵状血管瘤患者临床效果及病灶直径的影响

目的:探讨经导管动脉超选择性插管栓塞治疗对肝多发海绵状血管瘤(CHL)患者临床效果及病灶直径的影响。方法:选取2017年2月-2019年2月本院肝多发海绵状血管瘤患者92例。随机分为对照组和研究组,各46例。对照组应用微波消融治疗,研究组应用经导管动脉超选择性插管栓塞治疗。观察对比两组病灶直径、肝功能情况(AST、TBIL、ALB、AST)及治疗效果。结果:治疗后,研究组病灶直径为(2.7±0.6)cm,小于对照组的(3.4±0.9)cm,差异有统计学意义(P<0.05)。研究组治疗总有效率(89.13%)高于对照组(65.22%),差异有统计学意义(P<0.05)。研究组AST水平为(35.4±4.2)U/L,TBIL水平为(13.4±1.7)μmol/L,ALB水平为(43.4±5.5)g/L,ALT水平为(47.8±5.6)U/L,均低于对照组的(61.2±5.7)U/L、(17.1±1.8)μmol/L、(44.6±4.7)g/L、(93.4±11.1)g/L,差异有统计学意义(P<0.05)。结论:肝多发海绵状血管瘤患者应用经导管动脉超选择性插管栓塞治疗效果理想,可以有效地缩小病灶,且对肝功能的损伤较小,治疗效果高,值得临床中推广和应用。