【摘要】 目的评价经肝动脉栓塞治疗肝门部附近海绵状血管瘤的疗效和价值。方法14例肝门部海绵状血管瘤使用平阳霉素碘化油乳剂+明胶教海绵颗粒经肝动脉栓塞,术后随访3～36月,观察栓塞前、后瘤体的变化,临床症状缓解情况。结果随访期间,14例临床症状明显缓解,瘤体均有不同程度的缩小,在术后12月CT复查时,瘤体直径由术前7.33±1.8cm缩小至3.5±1.7cm(P<0.05),无严重并发症。结论肝动脉栓塞术是治疗肝门部海绵状血管瘤的首选方法。更多还原

【Abstract】 Objective To investigate the therapeutic effects of hepatic arterial embolization for hilar cavernous hemangiomas of the liver. Methods Fourteen cases of hilar cavernous hemangiomas of liver were treated with Pingyangmycin-lipiodol emulsion combined with gelatin particles by transcatheter hepatic arterial embolization. All cases were followed up for 3-36 months after procedures. The changes of cavernous hemangiomas and improvement of clinical signs were observed. Results During the period of follow-up, the cavernous hemangiomas were shrunk to varying agrees and symptoms alleviated in all cases. Twelve months after treatment, the size of cavernous hemangiomas was reduced from ( 7.33± 1.8) cm to ( 3.5± 1.7) cm (P< 0.05). No serious complications occurred. Conclusion Transcatheter hepatic artery embolization with Pingyangmycin-lipiodol emulsion is the first choice for hilar cavernous hemangiomas of the liver.更多还原