动脉栓塞治疗肝血管瘤28例临床分析(1)
[摘要] 目的:评价平阳霉素碘油乳剂(PLE)肝动脉栓塞治疗对肝血管瘤的临床疗效。方法:治疗肝血管瘤28例,采用Seldinger技术股动脉插管,导管超选择插至肝血管瘤供血动脉后,灌注平阳霉素碘化油乳剂。所有病例术后随访3~18个月。结果:肝动脉栓塞后肝血管瘤瘤体内碘油沉积良好,22例(78.6%)血管瘤瘤体直径缩小>50%,4例(14.3%)瘤体直径缩小<50%,2例无明显变化,未发生严重并发症。结论:PLE肝动脉栓塞治疗肝血管瘤疗效及安全性良好。[关键词] 肝血管瘤;栓塞治疗;碘油;平阳霉素;介入放射学
[中图分类号] R575[文献标识码]C [文章编号]1673-7210(2008)11(c)-030-02
Clinical analysis of hepatic artery embolization for cavernous liver hemangioma
ZHANG Dou-yuan, JIN Long, LI Ji-xie
(Yanbian Tumour Hospital, Jilin Province, Yanji133000, China)
[Abstract] Objective: To investigate the clinical therapeutic effects of pingyangmycin-lipiodol emulsion(PLE) embolization in the treatment ofcavernous hemangioma of liver(CHL). Methods: 28 cases of CHL were treated with PLE by transcatheter arterial embolization with Seldinger techniqne. All cases were followed up 3 to 18 months after the procedure. Results: The iodized oil deposited well after the embolization. The minification of 22 cases(78.6%)of cavernous hemangioma anteroposterior diameter were larger than 50%, and 4 cases(14.3%)were less than 50%, 2 cases had no marked change, and no serious complication occurred. Conclusion: It is suggested that PLE intra-hepatic-arterial embolization is effective and safe for treating CHL. ......
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