肝血管内皮细胞瘤伴动静脉分流的影像学表现与介入治疗疗效评估  

Imaging findings of hepatic hemangioendothelioma with arteriovenous shunt and evaluation of interventional therapy

作　　者：阴捷[1] 王驰 刘玥[1] Yin Jie;Wang Chi;Liu Yue(Department of Radiology y Beijing Children's Hosptial, Capital Medical University, National Center forChildren's Health, Beijing 100045, China)

机构地区：[1]首都医科大学附属北京儿童医院放射科国家儿童医学中心,100045

出　　处：《中华普通外科杂志》2019年第8期689-692,共4页Chinese Journal of General Surgery

摘　　要：目的观察动脉硬化栓塞术治疗肝血管内皮细胞瘤的疗效及肝血管内皮细胞瘤的影像学表现。方法2016年10月至2019年1月首都医科大学附属北京儿童医院共收治8例肝脏血管内皮瘤伴动静脉分流的患者,观察介入治疗效果以及影像学表现与其他肝脏好发肿瘤的鉴别。结果8例患者共进行10次介入手术,第1次栓塞材料均用明胶海绵颗粒(2 000μm),行第2次栓塞者在解除动静脉分流后栓塞材料均选择微球(300500μm),A组8例患者经动脉超选择栓塞后均脱离辅助通气,术后再次造影动脉期未见肝静脉显影,动静脉分流得到有效改善,患者的肿瘤体积在化疗栓塞术后均成明显减小或消失。3例患者瘤体完全消失,患者完全康复,其余5例瘤体明显缩小,2例病灶缩小40%以上,1例70%以上,2例达到80%以上。结论增强扫描对肝血管内皮细胞瘤的诊断具有重要意义。动脉硬化栓塞术对肝血管内皮细胞瘤患者安全有效。Objective To observe the efficacy of arteriosclerosis embolization in the treatment of hepatic hemangio endothelioma(HHE)and the imaging manifestations of HHE.Methods Eight HHE children admitted to our hospital from Oct 2016 to Jan 2019 were enrolled to evaluate the efficacy of interventional therapy and the differentiation from other liver tumors.Results Eight patients underwent 10 interventional operations.The first embolization materials were gelatin sponge particles(2 000 μm).Alter the second embolization,microspheres(300-500 μm)were used for embolization materials.After superselective embolization,all 8 patients were weaned from the auxiliary ventilation.There was no hepatic venous development during the arterial phase after re-angiography.Tumor volume decreased or disappeared after chemoembolization.Tumors disappeared completely in 3 patients,shrank significantly in the remaining 5 cases.Conclusion Contrast-enhanced scanning is of great significance in the diagnosis of hepatic vascular endothelial cell tumor.Arteriosclerosis embolization has significant effect on children with hepatic vascular endothelial cell tumor.

关 键 词：肝肿瘤 介入治疗 

分 类 号：R735.7[医药卫生—肿瘤]