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目的:评价超选择性动脉插管栓塞治疗肝血管瘤的应用价值。方法:本组30例,男18例,女12例。肝血管瘤瘤体最大直径5cm~23cm,将导管超选择插入血管瘤供血动脉,一次或分次输注平阳霉素和超液化碘油乳剂。最后用明胶海绵颗粒栓塞供血动脉。术后定期复查。结果:介入手术成功率93.3%(28/30),总有效率90%(27/30),并发症少,术后复发率低。结论:超选择动脉插管栓塞是治疗肝血管瘤很有价值的方法,可作为首选。
Objective: To evaluate the application value of superselective arterial intubation embolization for hepatic hemangiomas. Methods: The group of 30 patients, 18 males and 12 females. The largest diameter of the hepatic hemangioma was 5cm~23cm. The catheter was superselectively inserted into the blood supply artery of the hemangioma, and the pingyangmycin and lipiodol emulsion were infused once or several times. Finally, the blood supply artery was embolized with gelatin sponge particles. Regular review after surgery. Results: The success rate of interventional surgery was 93.3% (28/30), and the total effective rate was 90% (27/30). The complications were few and the postoperative recurrence rate was low. Conclusion: Superselective arterial intubation embolization is a valuable method for the treatment of hepatic hemangiomas and can be used as the first choice.