巨大肝血管瘤选择性动脉栓塞的疗效观察  

Treatment of Large Hepatic Cavernous Hemangioma with Selective Hepatic Artery Embolization

作　　者：张雄军[1] 邓志春[1] 何云峰[1] 杨亚平[1] 柏魏[1] 

机构地区：[1]大理学院玉溪附属医院,云南玉溪653100

出　　处：《大理学院学报（综合版）》2009年第10期79-82,共4页Journal of Dali University

摘　　要：目的:分析和探讨选择性肝动脉栓塞治疗巨大肝血管瘤的治疗效果。方法:50例肝血管瘤患者,瘤体直径5～27cm。全部病例经CT或MRI、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1例行3次栓塞,49例行1次栓塞。栓塞材料彩碘油+平阳霉素混合乳剂。结果:随访6～12个月,血管瘤供血动脉超选择性插管操作成功率100%,栓塞后无不良反应,除3例栓塞后无明显效果外,其他患者肿瘤均缩小,35例瘤体均缩小达50%以上。结论:选择性肝动脉栓塞治疗巨大肝血管瘤是一种疗效肯定,相对安全,较为理想的治疗方法。Objective： To analyze and investigate the therapeutic effect of hepatic artery embolization in large hepatic cavernous hemangioma （more than 5 cm in diameter）. Methods： 50 patients with large hepatic cavernous hemangioma, who were diagosed by CT or MRI and liver artery angiography, underwent superselectively hepatic artery embolization. The diameter of hemangioma body ranged from 5 to 27 cm. Seldinger＇s approach was applied. Artery embolism with mixture of lipoidol and bleomycin was performed on the selective liver and superior mesentery angiography. Only one embolization was performed for 49 cases, but one case went through three emboiizations. Results： Followed by 6 to 12 months, the success rate of the procedure was 100%. None of the cases showed side effect. 3 cases were inefficient. The size of Hemangioma in other cases reduced, in 35 cases it reduced over 50 percent. Conclusion： Selective hepatic artery embolization is an effective and safe method in treating the large hepatic cavernous hemangioma.

关 键 词：血管瘤 动脉栓塞 碘油 介入治疗 

分 类 号：R575.29[医药卫生—消化系统]