Arts Cora H P, van Hillegersberg Richard, de Kort Gerard A P, Moll Frans L
Department of Surgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Vascular. 2010 Jan-Feb;18(1):53-8. doi: 10.2310/6670.2009.00030.
The purpose of this study was to investigate the results of a staged treatment of symptomatic focal nodular hyperplasia (FNH), consisting of first embolization and then resection. A 36-year-old woman presented with pulmonary embolism caused by an inferior caval vein thrombosis owing to external compression by FNH in liver segment I (5.2 x 6.7 cm). She was treated with anticoagulants. The FNH lesion was first reduced by radiologic embolization of the feeding branch of the right hepatic artery. A 41% size reduction was obtained, and the symptoms disappeared. FNH resection was performed 5(1/2) months later. The thrombus had disappeared, and the anticoagulant therapy could be stopped perioperatively. A symptomatic FNH lesion was treated successfully in two stages.
本研究的目的是探讨对有症状的局灶性结节性增生（FNH）进行分期治疗的结果，该分期治疗包括先栓塞然后切除。一名36岁女性因肝Ⅰ段（5.2×6.7 cm）的FNH外部压迫导致下腔静脉血栓形成，进而出现肺栓塞。她接受了抗凝治疗。首先通过对右肝动脉供血分支进行放射栓塞来缩小FNH病变。病变大小缩小了41%，症状消失。5个半月后进行了FNH切除。血栓已消失，围手术期可停止抗凝治疗。一个有症状的FNH病变通过两个阶段成功得到治疗。
