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目的 :探讨肝脏巨大海绵状血管瘤 (HHCH)的介入治疗方法与疗效。方法 :2 0例肝海绵状血管瘤患者经导管肝动脉注入平阳霉素和超液化碘油混合乳剂 ,然后用明胶海绵或PVA适量栓塞肿瘤供血动脉。结果 :所有病例术前肝动脉造影均显示“爆米花样染色”“早出晚归”的异常血管湖样改变。术后 2 0例肿瘤血供中断 ,瘤体缩小及碘油在肿瘤内均匀沉积。结论 :采用超液化碘油和平阳霉素加适量明胶海绵微粒联合栓塞是一种微创、安全简便、切实可行且疗效显著的治疗方法。
Objective: To investigate the interventional treatment and efficacy of massive cavernous hemangiomas (HHCH) in the liver. Methods : Twenty patients with hepatic cavernous hemangiomas were injected with a transfusional injection of Pingyangmycin and lipiodol in the transcatheter hepatic artery. The tumors were then embolized with gelatin sponge or PVA. RESULTS: In all cases, preoperative hepatic arterial angiography showed abnormal vascular lake-like changes in “popcorn-like staining” and “early late-to-late”. Twenty patients suffered from interruption of blood supply after surgery. The tumors were reduced and lipiodol was uniformly deposited in the tumor. Conclusion : It is a minimally invasive, safe, simple, practical and effective treatment with super-liquefied lipiodol and yangyangmyin combined with appropriate amount of gelatin sponge particles.