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目的 为了寻找理想的血管栓塞方法,提高肝血管瘤介入治疗的疗效,减少并发症。方法 于1994 年12 月~1998 年6 月,用平阳霉素+ 碘化油栓塞治疗肝血管瘤25 例,同时设立22 例鱼肝油酸钠+ 碘化油栓塞的对照组,随访6~48 个月。结果 平阳霉素+ 碘化油组与鱼肝油酸钠+ 碘化油组均具有强大的末梢血管硬化作用,使肝血管瘤缩小,纤维化,瘤体内血流信号减弱;平阳霉素+ 碘化油组患者术后反应轻,并发症少,优于对照组。结论 分析了平阳霉素+ 碘化油栓塞的机理和特点,认为平阳霉素+ 碘化油治疗肝血管瘤是一种较理想的肝血管瘤栓塞方法。
Objective To find the ideal vascular embolization method, improve the efficacy of interventional treatment of hepatic hemangiomas, and reduce complications. Methods From December 1994 to June 1998, 25 cases of hepatic hemangioma were treated with Pingyangmycin + iodized oil embolism. At the same time, 22 cases of sodium morrhuate plus iodized oil embolization were established and followed up for 6 to 48 months. . Results Both the Pingyangmycin + iodized oil group and the sodium morrhuate oil + iodized oil group had a powerful peripheral vascular sclerosis, reduced hepatic hemangioma, fibrosis, and reduced blood flow signal in the tumor; Pingyangmycin + iodized oil Patients in the group had a milder postoperative response and fewer complications than the control group. Conclusion The mechanism and characteristics of Pingyangmycin + iodized oil embolism were analyzed. It is considered that Pingyangmycin + iodized oil is an ideal method for hepatic hemangioma embolization.