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肝脏海绵状血管瘤是一种较为常见的肝脏良性病变.一般认为手术切除是最为有效的方法.但对于巨大海绵状血管瘤,手术难度和风险较大.我们自1994年4月以来,对6例巨大肝脏海绵状血管瘤进行了肝动脉栓塞治疗,现作一初步报告.1 临床资料6例患者中,男3例,女3例,年龄31～58岁,平均42.8岁.其中4例觉肝区疼痛,2例主要感腹胀.病程最长者3年,最短者1月.所有患者均综合B超、动态CT扫描及DSA肝动脉造影资料作出诊断.血管瘤最大径8～17.5cm,其中位于肝右叶者3例,左叶者1例,左右叶均有呈多发性者2例.
Liver cavernous hemangioma is a relatively common liver benign lesion. Surgical resection is generally considered to be the most effective method. However, for giant cavernous hemangioma, the difficulty and risk of surgery are relatively large. We have been to 6 since April 1994. Cases of massive hepatic cavernous hemangiomas were treated with hepatic artery embolization. A preliminary report is now available. 1 Clinical data Among 6 patients, 3 were males and 3 were females, aged from 31 to 58 years, with an average of 42.8 years. Liver area pain, 2 cases of major abdominal distension. The longest duration of 3 years, the shortest in January. All patients were combined B-ultrasound, dynamic CT scan and DSA hepatic arterial angiography to make a diagnosis. Hemangioma maximum diameter of 8 ~ 17.5cm, Among them, 3 were in the right lobe of the liver, 1 in the left lobe, and 2 in the left and right lobes.