摘要
Abstract
Objective:To observe the prognosis of hepatic artery intervention embolization with Pingyangmycin Lipodol Emulsion(PLE)in the treatment of patients with hepatic hemangioma,and analyze the risk factors affecting the prognosis.Method:The clinical data of 76 patients with hepatic hemangioma admitted to the Second Hospital of Longyan from February 2020 to February 2023 were retrospectively analyzed.All patients received hepatic artery intervention embolization with PLE,and were followed up for 12 months after surgery.The prognosis of patients was counted,and they were divided into recovery group and adverse group according to the prognosis.Baseline data such as gender,age,body mass index,smoking history,drinking history,course of disease,tumor diameter,tumor distribution,blood supplying artery,embolization times,postoperative pain,and postoperative complication rate were compared between the two groups,and the risk factors affecting the prognosis of patients with hepatic hemangioma treated by hepatic artery intervention embolization with PLE were analyzed.Result:Seventy-six patients with hepatic hemangioma were treated by hepatic artery intervention embolization with PLE,all of them achieved satisfactory embolization effect,with good PLE deposit and clear contour boundary.12 months after surgery,the tumor disappeared or basically disappeared in 11 patients,tumor shrinkage≥50%in 32 patients,the tumor shrinkage≥25%but less than 50%in 26 patients,and tumor shrinkage<25%in 7 patients.There were no significant differences in gender,body mass index,smoking history,tumor distribution,blood supplying artery and postoperative pain between the two groups(P>0.05).The drinking history,course of disease in recovery group were shorter than those in adverse group,the age,tumor diameter were smaller than that in adverse group,the embolization times was less than that in adverse group,and the incidence of postoperative complications was lower than that in adverse group,the differences were statistically significant(P<0.05).Unconditional logistic multiple stepwise regression analysis showed that age,drinking history and embolization times were independent risk factors affecting the prognosis of patients with hepatic hemangioma treated by hepatic artery intervention embolization with PLE(P<0.05).Conclusion:Age,drinking history and embolization times are independent risk factors affecting the prognosis of patients with hepatic hemangioma treated by hepatic artery intervention embolization with PLE.关键词
平阳霉素碘化油乳剂/肝动脉介入栓塞/肝血管瘤/预后/危险因素Key words
Pingyangmycin Lipodol Emulsion/Hepatic artery intervention embolization/Hepatic hemangioma/Prognosis/Risk factors
