微导管在肝海绵状血管瘤介入治疗中的应用价值  

Value of microcatheter in the interventional treatment of cavernous hemangioma of liver

作　　者：刘宏伟[1] 任伟新[2] 陈彩珍[1] 隋强[1] 朱国萍[1] 张晓琴[1] 

机构地区：[1]新疆医科大学第五附属医院放射介入科,新疆乌鲁木齐830011 [2]新疆医科大学第一附属医院介入放射科,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2009年第2期193-195,共3页Journal of Xinjiang Medical University

摘　　要：目的:探讨微导管在肝海绵状血管瘤介入治疗中的应用价值。方法:35例肝海绵状血管瘤(CHL)行超选择性肝动脉插管并经微导管内注射平阳霉素碘油乳剂(PLE),较大的瘤体用明胶海绵颗粒追加栓塞。随访12～36个月,观察CHL栓塞前、后肿瘤大小、异常血管湖变化、临床症状和并发症发生情况。结果:35例CHL患者栓塞术后瘤体缩小约36%～65%,异常血管湖消失,总有效率100%,无与手术有关的严重并发症发生。结论:PLE经微导管注入行超选择性肝动脉栓塞治疗CHL是安全、有效的方法。Objective： To investigate the efficiency of microcatheter in the treatment of cavernous hemangioma of liver（CHL） by pingyangmycin-lipiodol emulsion（PLE）. Methods： Thirty-five patients with CHL were embolized by intra-arterial infusion of PLE. The abnormal vascular laekes of large tumor were treated with gelfoam particles additionally. All patients were followed-up for 12 to 36 months. The changes of tumor size were measured and compared before and after the embolization. The relative clinical symptoms and complications were observed. Results： In all cases, the tumor size significantly decreased 36%-65X after PI.E embolization and abnormal vascular lackes disappeared. The clinical symptoms were significantly released. Total effective rate 100%. No severe complications happened. Conclusion： Transmicrocatheter super selective hepatic arterial embolization with PLE is an effective and safe therapy for CHL.

关 键 词：微导管 肝海绵状血管瘤(CHL) 栓塞术 平阳霉素碘油乳剂(PLE) 

分 类 号：R735.7[医药卫生—肿瘤] R815[医药卫生—临床医学]