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经皮硬化治疗巨大症状性肝血管瘤:一项初步研究。

Percutaneous Sclerotherapy for Giant Symptomatic Liver Hemangiomas: A Pilot Study.

作者信息

Ayoobi Yazdi Niloofar, Dashti Habibollah, Batavani Nasim, Borhani Ali, Shakiba Majid, Rokni Yazdi Hadi

机构信息

Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran.

Department of General Surgery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Vasc Interv Radiol. 2018 Feb;29(2):233-236. doi: 10.1016/j.jvir.2017.10.009.

DOI:10.1016/j.jvir.2017.10.009
PMID:29414196
Abstract

This single-center prospective trial evaluated the safety and efficacy of percutaneous sclerotherapy for liver hemangiomas in 5 patients (1 man, 4 women; mean age 41.2 y) between 2016 and 2017. All patients were symptomatic (4 abdominal pain; 1 early satiety) and refused surgery. A single session of sclerotherapy with 20 cc mixture of 45 IU. Bleomycin in 10 cc distilled water and 10 cc Lipiodol (Ultra Fluide, Guerbet, France) was performed in all patients, achieving a 45.6%-71.1% lesion volume reduction and a 12.9%-41% reduction in the largest diameter of the lesion. Symptoms subsided in all patients during the 5-month follow-up period. Adverse events included a self-limited intraperitoneal hemorrhage in 1 patient.

摘要

这项单中心前瞻性试验评估了2016年至2017年间5例患者(1例男性,4例女性;平均年龄41.2岁)经皮硬化治疗肝血管瘤的安全性和有效性。所有患者均有症状(4例腹痛;1例早饱)且拒绝手术。所有患者均接受了一次硬化治疗,使用20 cc由45 IU博来霉素溶于10 cc蒸馏水和10 cc碘油(超流体,法国古博公司)组成的混合液,病变体积减少了45.6%-71.1%,病变最大直径减少了12.9%-41%。在5个月的随访期内,所有患者的症状均缓解。不良事件包括1例患者出现自限性腹腔内出血。

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Ultrasound-guided percutaneous sclerotherapy versus surgical resection in the treatment of large hepatic hemangiomas: a retrospective study.超声引导经皮硬化治疗与手术切除治疗巨大肝血管瘤的疗效对比:一项回顾性研究。
BMC Surg. 2022 Apr 7;22(1):130. doi: 10.1186/s12893-022-01574-3.
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