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[动脉栓塞在成人肝脏海绵状血管瘤的治疗中起作用吗?]

[Does arterial embolization have a role in the treatment of cavernous hemangioma of the liver in adults?].

作者信息

Martin B, Roche A, Radice L, Aguilar K, Kraiem C

出版信息

Presse Med. 1986 Jun 7;15(23):1073-6.

PMID:2942887
Abstract

Embolization of the hepatic artery for cavernous haemangioma is discussed on the basis of 7 cases (3 giant haemangiomas, 4 medium sized or small), all symptomatic. Therapeutic embolization reduced the tumoral mass in 3 cases but had little effect on the symptoms. There was no complication. Arterial embolization is a relatively non-aggressive method, but it does not suppress the lesion. It should therefore be reserved to symptomatic or complicated cases, where reduction of the mass can be expected to result in functional improvement. Such cases are too exceptional for embolization to be performed routinely in adult patients with cavernous haemangioma of the liver.

摘要

基于7例(3例巨大血管瘤、4例中小型血管瘤)均有症状的肝海绵状血管瘤患者,对肝动脉栓塞术进行了讨论。治疗性栓塞使3例患者的肿瘤体积缩小,但对症状影响不大。未出现并发症。动脉栓塞是一种相对温和的方法,但不能消除病变。因此,它应仅用于有症状或复杂的病例,预期肿瘤体积缩小可导致功能改善。对于成年肝海绵状血管瘤患者,此类情况极为罕见,不足以常规进行栓塞治疗。

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