选择性动脉栓塞治疗肝巨大血管瘤  

Selective Hepatic Artery Embolization in Treatment of Large Hepatic Cavernous Hemangioma

作　　者：李正伟[1] 李书忠[1] 康妙霞[1] 陈云红[1] 

机构地区：[1]河南省南阳油田总医院放射科,河南南阳473132

出　　处：《中国临床医学》2007年第2期259-260,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:评价选择性动脉插管栓塞治疗巨大肝血管瘤的临床应用价值。方法:18例肝血管瘤患者,瘤体直径5～16．8 cm。全部病例经B超、CT、肝动脉造影确诊。采用Seldinger技术经股动脉穿刺插管,行选择性肝动脉、肠系膜上动脉造影并栓塞。其中6例行2次栓塞,12例行1次栓塞。栓塞材料采用超液态碘油+平阳霉素+明胶海绵混合乳剂。结果:随访3个月～2年,血管瘤供血动脉超选择性插管操作成功率100％,栓塞后12例见周边碘油呈棉团状沉积,4例显示环状碘油沉积,8例瘤体均缩小达50％以上,未出现严重的不良反应。结论:肝动脉栓塞治疗巨大肝血管瘤临床疗效确切,患者痛苦小,操作微创安全、简便,恢复快,可重复治疗。Objective：To study the effects of selective hepaticartery embolization in treatment of large hepatic cavernous hemangioma. Methods：There were 18 patients with liver angioma enrolled in this study, the diameter of hemangioma body was measured ranging from 5 cm to 16.8 cm. The angioma in all patiends had been identified by ultrasonic B, CT and liver artery angiography. Catheter introduction with Seldinger＇s approach were applied, then selective liver and superior mesentery angiography and subsequently artery embolism with mixture of lipoidol ＋ bleomycin ＋ sponge（LBS） was perfomed. Twice embolisms is 6 patients and 1 times in 12patients were completed. Results：Followed by 6 to 24 months,the success rate of the procedure was 100% , 12 cases demonstrate Lipiodol deposition like cotton-wool and 4 cases do Lipiodol deposition like loop surrounding the lesion,8 cases sizes reduced beyond 50 percent. All cases had no side effect. Conclusion：The intervention of liver artery embolism has definite clinical effect of large hepatic cavermous hemangioma, including the advantages of less suffeying small wound,safe and simple in perfoming, rapid recovery and can be operated repeatedly.

关 键 词：血管瘤 栓塞 介入治疗 

分 类 号：R575[医药卫生—消化系统]