无水乙醇-碘化油乳剂栓塞治疗肝脏血管瘤(附八例报告)  

Transcatheter arterial embolization of hepatic haemangioma with a mixture of ethanol and lipiodol: a report of 8 cases

作　　者：韩福刚[1] 李玉伟[1] 李云辉[1] 涂国建[1] 晏志刚[1] 徐观强[1] 

机构地区：[1]四川泸州医学院附属医院放射科,泸州646000

出　　处：《中华放射学杂志》1999年第12期835-837,共3页Chinese Journal of Radiology

摘　　要：目的　探讨无水乙醇碘化油乳剂经导管血管内栓塞（ＴＡＥ） 治疗肝脏血管瘤的方法和效果。方法　回顾性分析８ 例肝脏血管瘤病例，以１∶１ 无水乙醇与碘化油乳剂５ ～２０ ｍｌ 行肝动脉栓塞。结果　所有病例均成功实施了栓塞治疗，其中，５ 例行肝右动脉分支栓塞，１ 例行肝左动脉栓塞，２ 例行肝固有动脉栓塞。栓塞后临床症状减轻、肿瘤血供中断、瘤体缩小及肿瘤内碘化油均匀聚集。结论无水乙醇碘化油乳剂治疗肝脏血管瘤可导致肿瘤完全坏死，疗效肯定，可达到外科手术切除的效果。Objective To evaluate the effectiveness and method of transcatheter arterial embolization (TAE) of hepatic haemangioma with a mixture of ethanol and lipoidol Methods 8 patients with hepatic haemangioma were treated with ethanol and lipoidol The ratio of ethanol and lipoidol was 1:1 to yield a 50% ethanol mixture The total amount of the mixture used varied from 5 to 20 ml Results All of 8 patients were successfully embolized Partial embolization of the right hepatic artery in 5 patients and another embolization of the embolized left hepatic artery and hepatic artery (in 1 patient and 2 patients) were achieved All of these patients had relief of symptoms, decrease in tumor size, collection of lipoidol in the tumor, and vessel obliteration of the tumor Conclusion It is an effective method for method for treatment of hepatic aemangioma with TAE using a mixture of ethanol and lipoidol resulting in necrosis of hepatic aemangioma, which similar to urgical resection

关 键 词：乙醇 碘油 肝肿瘤 血管瘤 血管内栓塞 

分 类 号：R735.705[医药卫生—肿瘤]