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肝血管瘤介入动脉栓塞治疗136个瘤灶的长期观察研究
The long-term observation of therapeutic effect about artery embolization to liver angioma interventional
【摘要】 目的探讨平阳霉素-碘油乳剂肝动脉栓塞治疗肝血管瘤的中远期疗效。方法采用世界卫生组织(WHO)实体瘤疗效评价标准对该院2002年4月至2013年10月经肝动脉平阳霉素-碘油栓塞治疗的136个肝血管瘤瘤灶(89例患者)6个月至10年疗效进行分析。结果 89例患者共进行102次插管栓塞。0.5~1年瘤体缩小率58.8%,有效率87.5%;1~3年瘤体缩小率63.7%,有效率98.3%;3~5年瘤体缩小率69.5%,有效率99.0%;5~10年瘤体缩小率72.4%,有效率100%。无严重并发症。与术前相比,差异均有统计学意义(P<0.05)。结论平阳霉素-碘油乳剂肝动脉栓塞治疗肝血管瘤并发症少、中远期疗效良好,具有临床价值。
【Abstract】 Objective To investigate the long term effect of Pingyang mycin lipiodol emulsion embolization in treatment of hepatic hemangioma.Methods From 2002 April to 2013 Oct.,136 hemangiomas of liver tumor(89patients)were therapied by Pingyang mycin-hepatic artery lipiodol embolization in our hospital.The efficacy of therapy in June to 10 years were analyzed by WHO solid tumor response evaluation criteriaResults 89 patients were underwent 102 times of embolization.Reduction of tumor volume rate was of 58.8%,efficiency was 87.5% in 0.5-1year;tumor shrinkage rate was 63.7%,efficiency was 98.3%in 1-3years;tumor shrinkage rate was 69.5%,efficiency was 99%in 3-5years;tumor shrinkage rate was 72.4%,efficiency was 100%in 5-10 years.There was no serious complications.Compared with the preoperative,the difference was statistically significant(P<0.05).Conclusion Pingyang mycin-lipiodol emulsion embolization is worth to apply to treat hepatic hemangioma with few complications and good effect.
【Key words】 hepatic hemangioma; pingyangmycin-lipiodol emulsion; arterial embolization; therapeutic effect;
- 【文献出处】 检验医学与临床 ,Laboratory Medicine and Clinic , 编辑部邮箱 ,2015年12期
- 【分类号】R735.7
- 【被引频次】7
- 【下载频次】57