当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
5期
86-87
,共2页
肝海绵状血管瘤%肝动脉%栓塞%平阳霉素碘化油乳剂
肝海綿狀血管瘤%肝動脈%栓塞%平暘黴素碘化油乳劑
간해면상혈관류%간동맥%전새%평양매소전화유유제
Hepatic cavernous hemangioma%hepatic artery%pingyangmycin-lipiodol emulsion
目的：评价平阳霉素碘化油乳剂肝动脉栓塞治疗肝海绵状血管瘤的疗效。方法肝海绵状血管瘤38例，采用Salinger技术股动脉插管，导管超选入肝海绵状血管瘤供血动脉，缓慢注射平阳霉素碘化油乳剂。结果38例患者治疗46次，36例肿块基本消失，1例肿块缩小90%，1例肿块缩小80%，临床症状基本消失，无严重并发症。结论平阳霉素碘化油乳剂肝动脉栓塞治疗肝海绵状血管瘤创伤小、恢复快、疗效好，应成为肝海绵状血管瘤首选治疗方法。
目的：評價平暘黴素碘化油乳劑肝動脈栓塞治療肝海綿狀血管瘤的療效。方法肝海綿狀血管瘤38例，採用Salinger技術股動脈插管，導管超選入肝海綿狀血管瘤供血動脈，緩慢註射平暘黴素碘化油乳劑。結果38例患者治療46次，36例腫塊基本消失，1例腫塊縮小90%，1例腫塊縮小80%，臨床癥狀基本消失，無嚴重併髮癥。結論平暘黴素碘化油乳劑肝動脈栓塞治療肝海綿狀血管瘤創傷小、恢複快、療效好，應成為肝海綿狀血管瘤首選治療方法。
목적：평개평양매소전화유유제간동맥전새치료간해면상혈관류적료효。방법간해면상혈관류38례，채용Salinger기술고동맥삽관，도관초선입간해면상혈관류공혈동맥，완만주사평양매소전화유유제。결과38례환자치료46차，36례종괴기본소실，1례종괴축소90%，1례종괴축소80%，림상증상기본소실，무엄중병발증。결론평양매소전화유유제간동맥전새치료간해면상혈관류창상소、회복쾌、료효호，응성위간해면상혈관류수선치료방법。
Objective The aim of this study is to evaluate the clinical effectiveness of transarterial embolization with pingyangmycin-lipiodol emulsion (PLE) in treatment of hepatic cavernous hemangioma (HCH). Methods 38 patients with HCH, solitary in 26 patients and multiple in 12, were treated with the PLE embolization via arterial catheter. HCH was smaller than 5 cm in 15 cases, between 5 cm and 10 cm in 19 cases, and larger than 10 cm in 4 cases. The PLE mixture was slowly administered into the diseased hepatic artery using Seldinger Ultraselective Catheter via arteria femoralis. Results 46 embolizations were performed in total. In 36 cases HCH was successfully treated;one was embolized up to 90%and one to 80%. The clinical symptoms were abolished with no severe complications. Conclusion PLE intra-arterial embolization in treatment of HCH should be considered as the ifrst option in HCH treatment with the advantages of minimal wound, quick recovery and efifciency.
