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动脉栓塞治疗肝血管瘤系统分析
引用本文:占大钱,黄志勇,赵银峰,陈孝平. 动脉栓塞治疗肝血管瘤系统分析[J]. 华中科技大学学报(医学版), 2011, 40(5): 623-625,629. DOI: 10.3870/j.issn.1672-0741.2011.05.031
作者姓名:占大钱  黄志勇  赵银峰  陈孝平
作者单位:华中科技大学同济医学院附属同济医院肝脏外科中心,武汉,430030
摘    要:目的系统分析经导管动脉栓塞治疗肝血管瘤文献,评价其疗效及安全性。方法以"肝血管瘤","肝脏良性肿瘤"分别与"介入治疗"以及"动脉栓塞治疗"两两组合在Pubmed数据库中检索动脉栓塞治疗肝血管瘤文献;通过文章的参考文献进行二次检索。应用纳入标准和排除标准筛查出符合该研究文献并进行系统分析。结果符合该研究标准的动脉栓塞治疗肝血管瘤文献有26篇,包括151例患者。动脉栓塞术可改善76.4%肝血管瘤患者的症状,缩小74.1%的肝血管瘤,但其长期疗效欠佳。动脉栓塞可作为肝血管瘤自发性破裂出血或并发Kasabach-Merritt综合征有效的术前治疗。动脉栓塞后,腹部疼痛、发热、恶心等并发症常见,有时还会导致正常肝脏组织坏死或肝脓肿等严重并发症。结论动脉栓塞治疗肝血管瘤可缓解部分症状但疗效不肯定;且局部疼痛、发热、恶心等并发症常见。

关 键 词:肝血管瘤  经导管动脉栓塞术

Transcatheter Arterial Embolization Treatment of Giant Hepatic Hemangiomas:A Systematic Analysis
Zhan Daqian,Huang Zhiyong,Zhao Yinfeng et al Hepatic Surgical Center. Transcatheter Arterial Embolization Treatment of Giant Hepatic Hemangiomas:A Systematic Analysis[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2011, 40(5): 623-625,629. DOI: 10.3870/j.issn.1672-0741.2011.05.031
Authors:Zhan Daqian  Huang Zhiyong  Zhao Yinfeng et al Hepatic Surgical Center
Affiliation:Zhan Daqian,Huang Zhiyong,Zhao Yinfeng et al Hepatic Surgical Center,Department of Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
Abstract:Objective To systematically review the literature for transcatheter arterial embolization(TAE)treatment of giant hepatic hemangiomas and determine its efficacy and safety. Methods Studies were identified by searching PubMed databases using the Key words hepatic hemangioma,benign liver tumor,interventional treatment,transcatheter arterial embolization and their combinations;additional papers were identified by a manual search of the references from the key articles.Inclusion and exclusion criteria were appli...
Keywords:hepatic hemangioma  transcatheter arterial embolization  
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