CAJ | 학술논문

目的：评价超选择性肝动脉造影及栓塞治疗肝血管瘤的临床应用价值。方法对12例有临床症状的肝血管瘤患者，经股动脉插管行超选择性肝动脉造影后，采用平阳霉素超液化碘油乳剂及明胶海绵颗粒栓塞治疗。结果在栓塞治疗2周～2个月后，10例临床症状消失，2例临床症状明显缓解，症状缓解率为100％。随访4～12个月，17个瘤体有不同程度缩小，其中有14个瘤体缩小≥50％。所有患者术后反应轻，对症处理后4天症状消失，无严重并发症发生。结论超选择性肝动脉造影及栓塞治疗肝血管瘤具有疗效确定、对患者创伤小、并发症少、恢复快的特点，可作为肝血管瘤首选的治疗方法，值得临床推广应用。
목적：평개초선택성간동맥조영급전새치료간혈관류적림상응용개치。방법대12례유림상증상적간혈관류환자，경고동맥삽관행초선택성간동맥조영후，채용평양매소초액화전유유제급명효해면과립전새치료。결과재전새치료2주～2개월후，10례림상증상소실，2례림상증상명현완해，증상완해솔위100％。수방4～12개월，17개류체유불동정도축소，기중유14개류체축소≥50％。소유환자술후반응경，대증처리후4천증상소실，무엄중병발증발생。결론초선택성간동맥조영급전새치료간혈관류구유료효학정、대환자창상소、병발증소、회복쾌적특점，가작위간혈관류수선적치료방법，치득림상추엄응용。
Objective To evaluate the application of super -selective hepatic arteriography and embolization thera-py to treat hepatic hemangioma .Methods A total of 12 patients were included into the current study who suffered from hepatic hemangioma with clinical symptoms .They underwent super -selective hepatic arteriography through catheteriza-tion of the femoral artery before embolization therapy with pingyangmycin lipiodol emulsion ( PLE) and gelfoam particles . The clinical symptoms and complications were observed after treatment .Results Two weeks to two months after emboli-zation therapy , ten patients reported disappearance of clinical symptoms and two presented obviously relieved symptoms , with a remission rate of 100%.All patients were followed -up for 4 to 12 months.Reduced volumes were measured in 17 tumors, especially ≥50% shrinkage in 14 tumors.The adverse reactions reported were slight .The symptoms disap-peared four days after symptomatic treatment , without severe complications .Conclusion Super-selective hepatic arte-riography followed by embolization therapy is characterized in definite efficacy , small incision , little complications and fast recovery , which can be adopted as the first choice to treat hepatic hemangioma in clinical practice .