目的　超选择性肝动脉插管技术 ,化疗及栓塞联合治疗巨大型肝血管瘤的疗效观察。方法　采用Seldinger经皮股动脉穿刺插管法 ,在引导导丝的导向下 ,导管超选择至 2～ 3级肝动脉内 ,超选困难者 ,采用SP超微同轴导管 ,直到最接近肿瘤的主供血动脉 ;灌注平阳霉素 8～ 16mg ,缓慢推注鱼肝油酸钠与超液状碘油混合硬化栓塞剂。结果　本组对 11例巨大型肝血管瘤治疗后临床症状消失 ,有效率 10 0 % ,治疗后肿瘤内皮细胞变性、萎缩、退化 ,微血管损害破坏 ,纤维化 ,复查B超及CT肿瘤平均缩小 5 15cm× 8 95cm ,术后随访 16个月以上均健在 ,未见肿瘤复发。结论　超选择性肝动脉插管治疗巨大型肝血管瘤操作简便 ,损伤性小 ,是安全有效的方法 Objective To observe the curative effect of super selective hepatic artery cannulation, chemotherapy and embolization in the treatment of giant hepatic hemangioma. Methods Seldinger percutaneous femoral artery catheterization, under the guidance of the guide wire, the catheter over the selection to grade 2 to 3 hepatic artery, supranuclear artery bypass surgery, using SP coaxial catheter until the closest tumor The main feeding artery; perfusion Pingyangmycin 8 ~ 16mg, slow injection of sodium cod liver oil and ultra-liquid iodine mixed harden embolic agent. Results The clinical symptoms of 11 cases of giant hepatic hemangioma disappeared after treatment, the effective rate was 10%. After treatment, the tumor endothelial cells were degenerated, atrophied and degenerated, damaged by microvascular damage, fibrosis, 15cm × 895cm, after more than 16 months of follow-up are alive, no tumor recurrence. Conclusions Superselective hepatic arterial cannulation is a safe and effective method for the treatment of giant hepatic hemangiomas with simple and less invasive procedures