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肝脏海绵状血管瘤血供来源及硬化、栓塞治疗的研究
引用本文:李国威,赵仲蓉,李宝生,刘效恭,王志亮,刘清峰. 肝脏海绵状血管瘤血供来源及硬化、栓塞治疗的研究[J]. 中国普通外科杂志, 1993, 0(4)
作者姓名:李国威  赵仲蓉  李宝生  刘效恭  王志亮  刘清峰
作者单位:西安医科大学第二临床医院 710004
摘    要:对肝脏海绵状血管瘤(CHL)病人进行术中门静脉插管造影、门静脉注射亚甲兰肝脏染色(各5例)及切除标本血管铸型研究,证实CHL是肝动脉畸形,其血供完全来自肝动脉,与门静脉无关。依此理论经肝动脉途径,进行硬化或明胶微球碘化油乳剂栓塞治疗50例,均可达到瘤体纤维化闭塞目的。介入放射学栓塞治疗最为理想。本法为CHL开拓了非切肝治疗或介入治疗的新方法。

关 键 词:血管瘤  肝脏  血液供给  微球  碘化油  栓塞

A STUDY OF THE BLOOD SUPPLY OF CAVERNOUS HEMANGIOMA OF THE LIVER AND TREATMENT BY SCLEROSIS AND EMBOLIZATION
LI Guo-wei,et al.. A STUDY OF THE BLOOD SUPPLY OF CAVERNOUS HEMANGIOMA OF THE LIVER AND TREATMENT BY SCLEROSIS AND EMBOLIZATION[J]. Chinese Journal of General Surgery, 1993, 0(4)
Authors:LI Guo-wei  et al.
Affiliation:LI Guo-wei,et al. Department of Surgery,the Seoond Affiliated Hospital of Xian Medical University,Shanxi,710004.
Abstract:The study proved by portal venography, injection of methylene blue via portal vein during operation and by vessel cast specimen that the blood'supply of cavernous hernangioma of the liver (CHL)is from the hepatic artery, Based on the study,22 patients with CHL have been treated by tumor sclerosis with lipiodol-microsphere emulsion(10 cases had embolization via aterial catheterization). All of these cases were followed-up. Re-examination showed that lipiodol accumulated inside the tumor, with decrease of CHL mass size. This method is simple,safe and easy,and has proved to be a new way in the treatment of CHL. The procedure also can be done radiologically.
Keywords:Hemangioma  Liver  Blood supply  Embolization  Microsphere  
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