DSA下肝脏血管瘤介入治疗  

作　　者：李靖[1] 殷世武[1] 项廷淼[1] 高宗根[1] 潘升权[1] 张惠林[1] 王菊[1] 

机构地区：[1]安徽医科大学附属合肥医院介入血管疼痛科,安徽230011

出　　处：《当代医学》2013年第25期4-6,共3页Contemporary Medicine

摘　　要：目的探讨DSA下平阳霉素碘化油乳剂超选择性动脉栓塞治疗肝脏血管瘤的近、中期疗效。方法选取2003-2010年收治的23例肝脏血管瘤患者,采用平阳霉素+超液态碘化油制成乳剂行供血动脉栓塞治疗,观察术前及术后3、6个月患者的临床症状、肝功能变化及病灶大小变化情况。结果 23例患者除2例因病灶较大行二次介入治疗外,余均行一次治疗。术后第3、6个月复查肝脏CT所有患者血管瘤供血动脉均明显较少,其内可见碘油沉积、积聚。术后3个月病灶直径平均缩小2.5cm,术后6个月平均缩小4.0cm。术前有症状的患者术后3个月临床症状基本消失,肝功能基本恢复正常。所有患者均采用超选择插管技术,术后未见严重肝功能损伤、胆囊坏死及其他因过量栓塞导致的并发症。结论肝脏血管瘤的DSA下超选择性动脉平阳霉素碘化油乳剂栓塞术是一种安全、有效且容易让患者接受的治疗方法,值得应用与推广。Objective To investigate the short term and midterm efficacy of pingyangrnycin lipiodol emulsion through super selective arterial embolization for liver hemangioma. Methods A total of 23 people received my branch from 2003 to 2010 that were diagnosed as liver hemangioma were collected for the study.We treated them with pingyangmycin plus lipiodol ultra fluid for arterial embolization. The clinical symptoms, hepatic function and lesions size of the patients were observed before and 3, 6 month after this treatment.Results People all accepted one time treatment except 2 patients received the second interventional therapy for large size of lesions. We observed that there is iodipin deposition and accumulation in the artery of liver hemangioma. The size of liver hemangioma in all patients was significantly reduced 3 and 6 months after the operations, using CT to reexamine the liver. The hemangioma had average narrow of 2.5 centimeters 3 months after the operations, and it came to 4 centimeters when 6 months after the operations. Meanwhile, the people＇s clinical symptoms had almost gone 3 months after the operations and the liver function had almost returned to normal. We used super-selective catheterization in all the patients and no severe hepatic injury, gallbladder necrosis, or other complications such as embolism for the drug overdose happened to them. Gonelusion The operation for liver hemangioma using super selective arterial embolization via digital subtraction angiography （DSA） with pingyangmycin ipiodol emulsion should be applied and promoted and it is safe, effective and acceptable.

关 键 词：碘油 平阳霉素 肝脏血管瘤 栓塞 

分 类 号：R735.7[医药卫生—肿瘤]