肝血管瘤的介入治疗(附32例报告)

目的:总结超选择性动脉栓塞治疗肝血管瘤的经验。方法:对介入治疗的32例肝血管瘤患者进行回顾性分析;同时亦对血管瘤的影像学检查方法进行比较。结果:血管瘤供血动脉超选择性插管操作成功率100%,栓塞后28例见周边碘油呈棉团状沉积,4例显示环状碘油沉积。术前血管瘤最大直径为(8.5±2.3)cm,术后6个月血管瘤最大直径为(6.4±1.8)cm,术后12个月血管瘤最大直径为(4.3±1.8)cm,未出现严重的栓塞综合征反应。各种影像学均能明确血管瘤的诊断,增强CT扫描直观显示血管瘤血液动力学特点。结论:术前增强CT扫描显示的血液动力学特征有助于预期疗效评价,经导管栓塞治疗肝血管瘤疗效稳定,创伤小,复发率及经济费用低。

Analysis of interventional therapy for Liver hemangioma :Report of 32cases

Objective To summarize the experiences of liver hemangioma (LH)treated by superselective arterial embolization.Method32cases with liver hemangioma treated by interventional therapy were reviewed and image examinations for them were also compared with each other.Results The success rate of the procedure is100%.28cases demonstrate Lipiodol deposition like cotton-wool and4cases do Lipiodol deposition like loop surrounding the lesions.The maximal diameter of LH was(8.5±2.3)cm before op-eration and was6.4±1.8cm at interval of 6months and(4.3±1.8)cm at interval of 12months after operation.There was no serious embolization syndrome.Different image examinations can definitely make diagnosis for LH and enhanced CT shows its hemodynamic features notably.Conclusion Hemodynamic findings from preoperative enhanced CT are helpful to anticipated therapeutical assessment.LH treated by transcatheter embolization is effective,minimally invasive,less recurrent and expensive.