肝海绵状血管瘤的介入治疗

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,以超液态腆油、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。

Treatment of hepatic cavernous hemangioma by selective hepatica arterial emboliztion

Objective:To evaluate the effectiveness and method of intraarterial embolization in treatment of hepatic cavernous hemangioma.Methods:17 paticnts,8 males and 9 females,were treated by super-selective hepatic artery embolization with iodizeb oil,gelfoam pieces,and embolization coils.Results:All patients had been embolizeb successfuIly.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 cascs,more than 30% in 2 cases,and the effect was uncertain in 1 case.Symptoms of ll patients were disappeared and relief was obvious in 5 cases.Total effective rate was 94% with no significant complications.Conclusion:HAE is a safe and effective method.It may be considered as the first method of choice in treatment of hepatic cavernous hemangioma.