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巨大肝海绵状血管瘤的介入治疗

Interventional treatment of huge hepatic cavernous hemangioma.

作者信息

Cao X, He N, Sun J, Wang S, Ji X, Wang J, Zhang C, Yang J, Lu T, Li J, Zhang G

机构信息

Department of Radiology, General Hospital, Tianjin Medical University, Tianjin 300052, China.

出版信息

Chin Med J (Engl). 2000 Oct;113(10):927-9.

Abstract

OBJECTIVE

To study the methods of interventional treatment of huge hepatic cavernous hemangioma (HCH).

METHOD

A total of 14 patients with HCH were treated with lipiodol-ultrafluid (10-15 ml), bleomycin A (PYM 16-32 mg), and gelatin-sponge particles.

RESULTS

DSA hepatic arteriography showed multiple vascular lakes in the early arterial phase, so-called "to hang the fruits on the branches", which persisted for a long time. CT scan showed a significant reduction in tumor size in 8 of the 14 patients after the treatment.

CONCLUSION

Embolization with lipiodol-ultrafluid, PYM and gelatin sponge particles is one of the best methods for the treatment of HCH.

摘要

目的

探讨巨大肝海绵状血管瘤(HCH)的介入治疗方法。

方法

14例HCH患者采用超液化碘油(10 - 15 ml)、平阳霉素(PYM 16 - 32 mg)及明胶海绵颗粒进行治疗。

结果

DSA肝动脉造影显示动脉早期有多个血管湖,即所谓“树上挂果征”,且持续时间长。CT扫描显示14例患者中有8例治疗后肿瘤大小显著缩小。

结论

超液化碘油、平阳霉素及明胶海绵颗粒栓塞是治疗HCH的最佳方法之一。

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