肝海绵状血管瘤介入治疗及中远期疗效观察

目的:探讨超选择性动脉插管栓塞治疗肝血管瘤的临床应用及中远期疗效观察。方法:本组17例,男3例,女14例。将导管超选择性插入肝血管瘤供血动脉,一次或分次注入平阳霉素和超液化碘油乳剂(PLE)。并分别于6个月和5a后行CT平扫。结果:本组17例栓塞治疗术所有患者术后反应轻、并发症少,6个月复查病变不同程度缩小,9例缩小50%以上,所有病人症状均缓解或消失,5a后复查16例病变大部分进一步缩小,其中6例病变消失,1例病变边缘有新发病灶。17例临床症状均消失。结论:超选择性动脉插管栓塞是治疗肝血管瘤较理想的治疗方法,其中远期疗效肯定。

Observation of curative effect of medium-long-term on transcatheter embolization for treatment of hepatic hemangioma

Objective:To evaluate the effects of super-selective hepatic artery embolization in the treatment of hepatic hemangioma.Methods:17 patients with hemangioma of liver were treated by superselective intra-arterial embolization with bleomycinum,lipiodol or gelfoam pieces.All of patients underwent NCECT 6 months?and 5 years later after treatment.Results:No recurence or significant complications occurred in this series.The size of the tumor was decreased?1-6 months later after treatment in all patients,and 9 patients were decreased more than 50%.16 patients were decreased significantly 5 years later after tretment,and the pathological changes were disappeared to 6 cases.Conclusion:The approach of transcatheter intra-arterial embolization and sclerosis with bleomycinum,lipiodol or gelfoam pieces is demonstrated as a safe,simple and effective method for hepatic hemangioma.