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介入治疗肝海绵状血管瘤平阳霉素碘油乳剂用量的探讨

The Dose of Pingyangmycin Lipiodol Emulsion in the Intra-arterial Embolization for Hepatic Cavernous Hemangioma

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【作者】 靳海英霍守义张和平贺祥张杰任学群李长波索智敏

【Author】 JIN Hai-ying,HUO Shou-yi,ZHANG He-ping,HE Xiang,ZHANG Jie,REN Xue-qun,LI Changbo,SUO Zhi-min(Department of Radiology,Huaihe Hospital,Henan University,Kaifeng,Henan Province 475000,China)

【机构】 河南大学淮河医院影像科河南大学东京医院影像科河南大学淮河医院影像科 河南开封475000河南开封475000

【摘要】 目的探讨介入治疗肝海绵状血管瘤的栓塞剂用量。方法超选择性肝动脉插管平阳霉素碘化油乳剂(PLE)栓塞治疗肝海绵状血管瘤40例,根据栓后瘤周有无碘油进入分为2组。对比观察2组药物用量、疗效、并发症。结果2组有效率无显著差异,药物用量、持续性疼痛发生率碘油进入门静脉组均高于对照组。结论CHL栓塞治疗中,栓塞剂用量应以个体化原则,以不出现瘤周门静脉碘油进入为宜。

【Abstract】 Objective To discuss the dose of pingyangmycin lipiodol emulsion(PLE)in the intra-arterial embolization for cavernous hemangioma of liver(CHL).Methods 40 cases of CHL were treated by super-selective hepatic artery embolization with PLE and divided into two groups according to whether lipiodol flowing into portal vein(LFPV) after hepatic artery embolization.The dosage of PLE,therapeutic effect and complications were comparatively analysed between two groups.Results There was no significance between two groups in effective rate(P>0.05).The dosage and durative ache in group of LFPV was higher than that in another(P<0.05).Conclusion The dosage of PLE should base on individuality and no lipiodol flowing into portal vein after hepatic artery embolization is better.

【基金】 河南大学2001年自然科学基金(编号:XK-02126)
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2006年10期
  • 【分类号】R735.7
  • 【被引频次】2
  • 【下载频次】85
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