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经肝动脉栓塞治疗肝脏海绵状血管瘤的临床应用价值

章桂平 康友根 曾伟华 欧阳欣 刘军

中国现代手术学杂志2012,Vol.16Issue(5):348-351,4.
中国现代手术学杂志2012,Vol.16Issue(5):348-351,4.

经肝动脉栓塞治疗肝脏海绵状血管瘤的临床应用价值

Clinical Application Value of Transcatheter Arterial Embolization for the Treatment of Cavernous Hemangioma of the Liver

章桂平 1康友根 1曾伟华 1欧阳欣 1刘军2

作者信息

  • 1. 湖南省湘潭市中心医院放射介入科,湘潭411100
  • 2. 中南大学湘雅二医院放射科中南大学公共管理学院博士后流动站,长沙410011
  • 折叠

摘要

Abstract

Objective To evaluate the clinical value and therapeutic effect of selective hepatic artery embolization with Pingyangmycin-lipiodol emulsion ( PLE ) in the treatment for huge hepatic hemangioma. Methods 35 patients with huge hepatic hemangioma were treated with PLE by selective hepatic artery embolization and sclerosis. The size of tumors was measured and compared before and after the embolotherapy, the clinical symptoms and complications were observed. Results After the embolotherapy, the size of tumors was decreased evidently. By the end of the the third, the sixth, the nineth, and the twelfth month, there was an average shrinkage of 26. 6% , 41. 5% ,58. 3% and 68. 7% in the size of tumors retrospectively. After the embolotherapy , CT indicated the huge hepatic hemangioma disappeared entirely in 4 cases at the end of the twelfth and the eighteenth month. The clinical symptoms were alleviated or recovered completely. No severe complications occurred. Conclusion It is suggested that selective hepatic artery embolization with Pingyangmycin-lipiodol emulsion is safe and effective with fewer complications on huge hepatic hemangioma.

关键词

血管瘤,海绵状/肝肿瘤/博来霉素/碘化油/栓塞,治疗性

Key words

hemangioma, cavernous/liver neoplasms/bleomycin/iodized oil/embolization,therapeutic

分类

医药卫生

引用本文复制引用

章桂平,康友根,曾伟华,欧阳欣,刘军..经肝动脉栓塞治疗肝脏海绵状血管瘤的临床应用价值[J].中国现代手术学杂志,2012,16(5):348-351,4.

中国现代手术学杂志

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