平阳霉素、碘化油、明胶海绵栓塞治疗肝海绵状血管瘤53例
血管瘤,海绵状；碘化油；明胶海绵,吸收性；化学栓塞,治疗性,,血管瘤，海绵状；碘化油；明胶海绵，吸收性；化学栓塞，治疗性,1资料与方法,2
【摘要】 目的 探讨平阳毒素(PYM)、碘化油和明胶海绵栓塞硬化治疗肝海绵状血管瘤疗效及其DSA造影分型与疗效关系。方法 对53例肝海绵状血管瘤经股动脉插管行PYM、碘化油和明胶海绵栓塞硬化治疗，随访1～12个月，按照肝血管瘤的分型分析治疗效果。结果 全部53例患者均成功进行了介入栓塞治疗，27例(50.9%)瘤体缩小>50%，18例(34.0%)瘤体缩小<50%，4例(7.5%)瘤体缩小<20%，4例(7.5%)稳定，总有效率92.5%。所有患者无严重并发症出现。结论 对于瘤体较大不宜外科手术治疗的肝海绵状血管瘤病例，PYM、碘化油加明胶海绵栓塞硬化治疗效果明显，是一种安全有效的方法。【关键词】 血管瘤，海绵状；碘化油；明胶海绵，吸收性；化学栓塞，治疗性
Transcatheter arterial embolizaton and sclerosis treatment of hepatic cavernous hemangioma with bleomycinum,lipiodol and gelfoam pieces
WANG Xiao-lin,HUANG Lin-chang,WANG Tian-fu,et al.
Department of Radiology,The Peoples Hospital,Shehong 629200,China
【Abstract】 Objective To study the effects of embolization and sclerosis therapy for cavernous hemangioma of the liver (CHL).Methods Fifty-three cases of CHL were treated by superselective intra-arterial embolization with bleomycinum,lipiodol or gelfoam pieces.Results The size of tumor decreased more than 50% in 27 cases (50.9%),less than 50% in 18(34.0%) and less than 20% in 4(7.5%).No recurence or significant complications occurred in this series.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 giant CHLs which are unsuitable for procedure. ......
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