选择性肝动脉栓塞治疗肝海绵状血管瘤(附17例报告)

目的研究经肝动脉栓塞治疗海绵状血管瘤的方法和效果。方法将导管超选择插入17例肝血管瘤的供血动脉，以碘油或超液态碘油、明胶海棉和（或）钢圈栓塞。结果所有病例均成功实施了栓塞治疗。17例中有11例分别于术后1～12个月行CT或B超随访。瘤体缩小〉50％者8例，〉30％者2例，1例缩小不明显。全部患者中临床症状消失者11例，明显减轻者5例，总有效率94％，术后无严重并发症。结论超选择性肝动脉栓塞是治疗肝海绵状血管瘤的安全、有效的首选方法。

The treatment of hepatic cavernous hemangioma by selective hepatic arterial ewboliztion

Objective To evaluate the effectiveness and method of intraarterial embolization in treatment of hepatic cavernous hemangioma. Methods 17 patients,8males and 9females,were treated by super-selective hepatic artery embolization with iodizeb oil,gelfoam pieces,and embolization coils. Results All patients had been embolizeb successfully. The rate of success was 100%. 11 cases werefollowed up by CT/ USG for 1-12 months. The size of tumor was decreased more than 50% in 8 cases,more than 30% in 2 cases,and the effect was uncertain in 1 case. Symtoms of 11 patients were disappeared and relief was obvious in 5 cases. Total effective rate was 94% with no significant complications. Conclusions HAE is a safe and effec-tive method. It may be considered as the first method of choice in treatment of hepatic cavernous heman-gioma.