平阳霉素碘油乳剂动脉栓塞治疗肝海绵状血管瘤

为探讨平阳霉素碘油乳剂（PLE）治疗肝海绵状血管瘤（HCH）的临床疗效及并发症的防治,对22例经CT平扫及增强证实的肝海绵状血管瘤,作超选择肝动脉插管,灌注PLE,然后用明胶海绵栓塞.结果表明,介入治疗后病人症状改善,病灶有不同程度缩小.其中18例3个月缩小50%以上,15例1年B超复查瘤体消失.认为经肝动脉灌注PLE是治疗HCH安全有效的方法.

Transcatheter Arterial Chemoembolization with Pingyangmicin Lipiodol Emusion in the Treatment of Hepatic Cavernous Hemangiomas

To evaluate of evaluate of therapeutic effectiveness and the side effects of transcatheter arterial chemoembolization(TACE) for cavernous hemangiomas of the liver,22 patients with hepatic cavernous hemangiomas,proved by contrast-enhanced CT,were treated by TAE with pingyangmicin lipiodol emusion and gelfoam.The result showed that the treatment response was assesssd on follow-up ultrasound and color Doppler amd/or contrast-enhanced helical computed tomography.The symptoms were relieved in 22 patients after the treatment with TAE,the tumor in 18 patients regressed 50% in the mean size after embolization during 3 months of follow-up,the tumor in 15 patients was disappeared during 3 months of follow-up.It concludes TCE of hemangiomas is a effective procedure in the therapy of cavernous hemangiomas of the liver.