超选择肝动脉栓塞治疗肝血管瘤的临床观察  

Clinical observation of superselective hepatic artery embolization in treatment of hepatic hemangioma

作　　者：张龙[1] 邓元明[1] 

机构地区：[1]重庆三峡中心医院百安分院放射科,重庆万州404000

出　　处：《中国医药导报》2013年第19期66-67,70,共3页China Medical Herald

摘　　要：目的回顾性分析用平阳霉素碘油乳剂行超选择性肝动脉栓塞治疗肝血管瘤的临床疗效。方法对68例肝血管瘤患者用平阳霉素碘油乳剂进行超选择性肝动脉栓塞治疗,观察治疗前及治疗后3、6个月、1年患者临床症状、瘤体变化及并发症。结果 68例肝血管瘤患者术后3、6个月、1年复查彩超或CT,见瘤体供血消失,其内碘油沉积良好,瘤体明显缩小。术前瘤体最大截面积为(8.24±7.12)cm2;术后3、6个月、1年平均分别为(7.36±6.92)cm2、(6.11±5.89)cm2、(4.15±3.89)cm2。术前术后相比,差异有统计学意义(P<0.05)。临床症状缓解,无严重并发症发生,疗效满意。结论超选择性肝动脉栓塞是治疗肝血管瘤是一种安全、微创、有效的治疗方法。Objective To analyze the clinical efficacy of selective hepatic artery embolization using pingyangmycin lipiodol emulsion in the treatment of hepatic hemangioma. Methods Sixty-eight patients with hepatic hemangioma received selective hepatic artery embolization were used with pingyangmycin lipiodol emulsion. The clinical symptoms, tumor changes and complications of the patients before and 3 months, 6 months and 1 year after treatment were observed. Results For the 68 patients with hepatic hemangioma, 3 months, 6 months and 1 year after surgery, color Doppler ultrasound or CT showed disappeared tumor blood supply, good lipiodol deposition and significantly reduced tumor. The largest cross-sectional area of tumor before surgery was （8.24±7.12） cm^2 and 3 months, 6 months and 1 year after surgery the area was （7.36±6.92） cm^2, （6.11±5.89） cm^2 and （4.15±3.89） cruz respectively. There existed statistically significant difference between before and after surgery. The clinical symptoms relieved, no serious complication was observed and the efficacy was satisfactory. Conclusion Selective hepatic artery embolization is a safe, minimally invasive and effective treatment method for hepatic hemangioma.

关 键 词：肝血管瘤 栓塞 平阳霉素碘油乳剂 

分 类 号：R575[医药卫生—消化系统]