论文部分内容阅读
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。材料与方法 治疗肝巨大海绵状血管瘤 14例。经导管注入超液化碘油和平阳霉素 (PYM)混合乳剂 ,最后用明胶海绵颗粒适量栓塞肿瘤周围小血管。结果 所有病例术前肝动脉造影均显示“枝上挂果 ,早出晚归”的异常血管湖样改变。术后 8例肿瘤明显缩小 ,异常血管湖消失。结论 采用超液化碘油和PYM混合剂加适量明胶海绵微粒联合栓塞是治疗肝巨大海绵状血管瘤较好的方法之一。
Objective To investigate the interventional therapy and efficacy of massive cavernous hemangiomas (HHCH) in the liver. Materials and Methods 14 cases of massive hepatic cavernous hemangiomas were treated. The catheter was injected with a mixture of lipiodol and yangyangmycin (PYM) emulsions. Finally, appropriate amounts of gelatin sponge particles were used to embolize small vessels around the tumor. Results All cases of preoperative hepatic arterial angiography showed abnormal vascular lake-like changes in the “fruit on the branch, early to late return”. After surgery, the tumors were significantly reduced in 8 cases and the abnormal vascular lake disappeared. Conclusions It is a good method to treat massive cavernous hemangioma of the liver by using superfluid lipiodol and PYM mixture plus appropriate amount of gelatin sponge particles combined with embolization.