B超引导下微波热毁损治疗肝脏海绵状血管瘤  

Ultrasound-guided treatment of moderate hemangioma of liver by microwave tissue coagulation

作　　者：杜锡林[1] 鲁建国[1] 褚延魁[1] 赵柏山[2] 南菁[1] 臧莉[1] 杨媛[1] 马庆久[1] 

机构地区：[1]第四军医大学唐都医院肝胆外科,陕西西安710038 [2]第四军医大学唐都医院超声科,陕西西安710038

出　　处：《生物医学工程与临床》2007年第1期40-43,共4页Biomedical Engineering and Clinical Medicine

基　　金：陕西省攻关课题(2004K17G5)

摘　　要：目的观察微波热毁损治疗肝脏海绵状血管瘤的疗效及安全性。方法87例肝脏海绵状血管瘤患者,其中男性28例,女性59例,平均年龄42.6岁。113个病灶,瘤体直径5～10cm。在B超引导下采用微波治疗肝脏单发及多发海绵状血管瘤。结果3个月后复查B超,68个病灶(≤8cm)瘤体体积缩小50%以上,瘤体血供全部消失,病灶完全毁损;其余病灶瘤体体积缩小25%以上,病灶内血流明显减少。6个月后复查,仅3个直径≥8cm的病灶体积增大,经第2次治疗后血流消失。全部病例无出血等并发症。结论B超引导下经皮肝穿刺微波热毁损治疗肝脏血管瘤,安全有效,无并发症;对≥8cm的病灶需2次以上治疗才能达到满意疗效。Objecive To evaluate efficacy and safety of the treatment of hepato-hemangioma with microwave tissue coagulation （MTC） under ultrasound guiding transhepatic puncture technique. Methods Percutanous transbepatic MTC under ultrasound guiding were performed in 113 lesions of 87 consecutive patients. Results In 68 lesions （less than 8 cm in diameter） their volume reduced 50 % with vanishing blood supply,in 3 months after treatment. In another 45 lesions their volume reduced 25 % with blood supply significantly decreased. Conclusion Microwave tissue coagulation（MTC） is an effective and safe treatment choice for hepatic hemangioma. When the lesion diameter ≥ 8 cm more than 2 treatment procedures would be required for achiving suceessful results.

关 键 词：肝海绵状血管瘤 微波热毁损治疗 B超引导 

分 类 号：R735.7[医药卫生—肿瘤]