肝海绵状血管瘤经动脉栓塞治疗  

Intravascular embolization of hepatic cavernous hemangioma

作　　者：张庆桥[1] 祖茂衡[1] 徐浩[1] 顾玉明[1] 李国钧[1] 魏宁[1] 王诚[1] 许伟[1] 

机构地区：[1]江苏省徐州医学院附属医院介入放射科,221002

出　　处：《介入放射学杂志》1999年第4期204-206,共3页Journal of Interventional Radiology

摘　　要：目的　探讨经动脉栓塞治疗肝海绵状血管瘤的机理、临床疗效及并发症的防治。方法　１２ 例经Ｂ超、ＣＴ 或ＭＲＩ及血管造影证实的肝海绵状血管瘤，作超选择性肝动脉插管栓塞。栓塞剂为超液态碘油、明胶海绵及弹簧圈。结果　栓塞术后病人症状改善，所有病灶均有不同程度的缩小，其中９ 例缩小５０ ％ 以上，１ 例４ 年后Ｂ超检查瘤体消失。结论　经动脉栓塞治疗肝海绵状血管瘤是一种有效方法，在碘油和明胶海绵栓塞基础上再用弹簧圈栓塞。Objective To evaluate the mechanism and clinical effect of embolotherapy for HCH and discuss the prevention of complications. Methods 12 cases were examined by B US、CT/MRI and angiography. After the catheter with its tip was placed within in the feeding artery, as close to the tumor as possible, the suspension of lipiodol and gelfoam particles (1mm×1mm cubes) was injected into the tumor through the catheter, which was followed by coil embolization. This method could minimize the damage to normal tissue and achieve a good long term successful rate. Results The sizes of all tumors were diminished to some extent after embolotherapy and all patients' symptoms were improved. In the follow up, the diminution rate of tumors in 9 cases was over 50%, 4 years later after embolization, the tumor in one case disappeared completely. Conclusions Intra arterial embololization of HCH would be a more effective manner with addition of lipiodol and gelfoam particles, because of occluding simultaneously the sinusoids arterioles and small arteries, but they are absorbable. Although coils are permanent embolic agents, but can only occlude large vessels. Obviously, using these embolic agents simultaneously can improve clinical effect and reduce the times of embolotherapy.

关 键 词：海绵状血管瘤 栓塞治疗 肝肿瘤 

分 类 号：R735.705[医药卫生—肿瘤] R732.205[医药卫生—临床医学]