CT引导下经皮穿刺平阳霉素碘油乳剂瘤内注射治疗肝血管瘤

目的观察CT引导下经皮穿刺平阳霉素碘油乳剂瘤内注射治疗肝血管瘤的临床疗效及安全性。方法26例患者共30个瘤体，29例次行CT引导下经皮穿刺瘤内不同深度及方向注射平阳霉素16—24mg＋碘油10n11乳剂至瘤体基本充填。3月后CT观察瘤体变化及不良反应。结果本组26例中，CR10例、PR14例、NC2例（1例2次治疗后达PR，1例6月后复查达PR），最终有效率100％。91％（10／11）患者症状能缓解，无严重并发症发生。5d后肝功能复查未见损伤改变。结论CT引导下经皮穿刺平阳霉素碘油乳剂瘤内注射治疗肝血管瘤是一种操作相对简单、创伤小、经济安全、有效、可重复、患者易于接受的治疗方法。

CT-guided in leather puncture pingyangmycin-Lipiodol emulsion tumour inject treatment Hepatic hemangioma

Objective CT-guided go through leather puncture pingyangmycin-Lipiodol emulsion turnout inject safety and the clinical curative effect of treatment Hepatic hemangioma. Methods 26 regular patients share 30 lesions turnout bodies, 29 regular trip CT-gulded the different depth in leather puncture tumour and direction inject pingyangmycin 16-24 mg＋ the iodine oil emulsion of 10 ml to tumour body serve as basically to fill. After 3 months, CT observes tumour body change and bad reaction. Results This group shares 26 examples, is regular in which CR10 cases, PR14 cases, NC2 cases（1 case two treatments after reach PR, after 1 case 6 months check to reach PR）, eventually effective 100%. The patient（10/11） symptom of 91% can be alleviated. Without serious complication occur. After 5 days, liver function checks , do not see damage change. Conclusion CT-gulded in leather puncture pingyangmycin-Lipiodol emulsion tumour inject treatment Hepatic hemangioma is a kind of operation relative simple, wound little, economic safety, effective, can repeat, the treatment method that patient is easy to accept.