选择性肝动脉造影联合栓塞治疗肝血管瘤  

Transcatheter selective hepatic arteriography combined with embolization therapy for the treatment of hepatic hemangiomas

作　　者：朱轲[1] 曹建民[2] 

机构地区：[1]南京大学临床医学院 [2]南京军区南京总医院

出　　处：《介入放射学杂志》2010年第12期985-987,共3页Journal of Interventional Radiology

摘　　要：目的探讨肝血管瘤的选择性肝动脉造影表现及栓塞的治疗效果。方法对49例肝血管瘤患者采用平阳霉素-超液化碘油乳剂行超选择性动脉插管行栓塞治疗,观察治疗前和治疗后6、12个月时患者临床症状、血管瘤大小的变化以及出现的并发症。结果所有患者在术后6、12个月复查CT,见瘤体血供消失,其内碘油沉积良好,并出现瘤体缩小、碘油聚集征象。血管瘤直径由术前为(9.3+2.2)cm到术后6、12个月时分别为(4.2+1.5)cm和(2.0+1.3)cm。治疗前的临床症状治疗后均获缓解或消失。术后均未出现胆囊坏死、胆管狭窄和肝坏死等严重并发症。结论超选择肝动脉插管平阳霉素碘油乳剂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 investigate the transcatheter selective hepatic arteriographic features of hepatic hemangiomas and to discuss the efficacy of embolization therapy for hepatic hemangiomas.Methods Transcatheter selective hepatic arteriography and embolization with lipidol-ultrafluida as well as pingyangmycin were performed in 49 patients of hepatic hemangiomas.The clinical symptoms,the tumor size and the complications were observed both before and 6,12 months after the treatment.The results were analyzed.Results CT scans performed at 6 and 12 months after the treatment showed that in most patients the blood supply of the tumor disappeared,the lipiodol deposited well within the tumor and the tumor shrank with assembled lipiodol.Before intervention the mean diameter of tumor was（9.3 ± 2.2） cm,which decreased to（4.2 ± 1.5） cm and to（2.0 ± 1.3） cm at 6 and 12 months after the treatment,respectively.Clinically,the symptoms were alleviated or completely disappeared after the procedure in all patients.No severe complications such as gallbladder necrosis,bile duct stenosis or liver necrosis occurred.Conclusion Super-selective hepatic arterial catheterization and embolization therapy with pingyangmycin and lipiodol emulsion is an effective and safe treatment for hepatic cavernous hemangiomas.

关 键 词：肝血管瘤 栓塞 平阳霉素 介入放射学 

分 类 号：R735.7[医药卫生—肿瘤]