[1]王精兵,安潇,王悍,等.无水乙醇-碘油栓塞治疗肝脏海绵状血管瘤[J].介入放射学杂志,2010,(05):358.
 WANG Jingbing,AN Xiao,WANG Han,et al.Transcatheter arterial embolization with the mixture of ethanol and lipiodol for the treatment of hepatic cavernous hemangiomas[J].journal interventional radiology,2010,(05):358.
点击复制

无水乙醇-碘油栓塞治疗肝脏海绵状血管瘤()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年05期
页码:
358
栏目:
血管介入
出版日期:
2010-05-15

文章信息/Info

Title:
Transcatheter arterial embolization with the mixture of ethanol and lipiodol for the treatment of hepatic cavernous hemangiomas
作者:
王精兵安潇王悍
200080上海交通大学附属第一人民医院放射科
Author(s):
WANG Jing-bingAN XiaoWANG HanWANG Lin-chuanGAO Li-qiangZHOU Zhi-guoZHANG Gui-xiang.
the First People’s Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai200080,China
关键词:
血管瘤肝脏肿瘤无水乙醇栓塞治疗性
分类号:
R735.7
摘要:
目的探讨经微导管无水乙醇-碘油动脉栓塞治疗肝脏海绵状血管瘤的疗效和安全性。方法回顾性分析25例肝脏海绵状血管瘤,以无水乙醇-碘油乳剂(乙醇-碘油比例为2∶1)8~25ml 行超选择肝动脉栓塞。观察术后肿瘤大小、肝功能及临床症状。结果所有病例均成功实施了栓塞治疗,其中最大病灶位于肝右叶15例、肝左叶10例,肿瘤最大径6.5~15.3cm,平均(8.2±2.0)cm,栓塞后6、12个月观察见肿瘤明显缩小,分别为(5.3±1.6)cm和(2.8±1.2)cm(P<0.01),患者临床症状缓解、术后除轻度腹痛、发热,转氨酶短时间轻度升高并于2周后恢复外,未发生其他严重并发症。结论无水乙醇-碘油栓塞是肝脏血管瘤治疗的一种安全有效方法

参考文献/References:

[1]Zeng QL,Li YH,Chen Y,et al.Gigantic cavernous hemangioma of the liver treated by Intra-arterial embolization with pingyangmycin-lipiodol emulsion:a multi-center study[J].Cardiovasc Intervent Radiol,2004,27:481-485.
[2]Giavroglou C,Economou H,Ioannidis I,et al.Arterial embolization of giant hepatic hemangiomas[J].Cardiovasc Intervent Radiol,2003,26:92-96.

[3]韩福刚,李玉伟,李云辉,等.无水酒精-碘化油乳剂栓塞治疗肝脏血管瘤(附八例报告)[J].中华放射学杂志,1999,33:835-837.
[4]曾庆乐,陈勇,赵剑波,等.肝海绵状血管瘤的动脉造影分型及介入治疗[J].中国医学影像学杂志,2009,17:379-380.
[5]Kuo PC,lewis MD.Treatment of giant hemangiomas of the liver by enucleation[J].J Am Coll Surg,1994,178:49-53.
[6]黄志强.肝脏外科手术学[M].北京:人民军医出版社,1996:154-159.
[7]Mario L,Gionpietro F,Pier D,et al.Giant cavernous hemangioma diagnosis and surgical strategies[J].World J Surg,1992,16:516-520.
[8]Stayman JW,Polsky HS ,Blaum L.Ruptured cavernous hemangioma of the liver[J].Pa Med,1976,79:62-63
[9]王精兵,王悍,安潇,等.超选择性节段性肾动脉栓塞治疗肾血管平滑肌脂肪瘤破裂出血[J].介入放射学杂志,2008,17:637-640.
[10]Trastek VF,Van Heerden JA,Sheedy PF,et al.Cavernous hemangioma of the liver,resect or observe﹖[J]Am Surg,1983,145:49-53.

相似文献/References:

[1]张靖,徐宏文,周少毅,等.经导管动脉栓塞联合局部硬化治疗儿童四肢巨大血管瘤[J].介入放射学杂志,2010,(07):527.
 ZHANG Jing,XU Hongwen,ZHOU Shaoyi,et al.Transcatheter arterial embolization combined with local sclerotherapy for the treatment of giant hemangiomas of extremities in children[J].journal interventional radiology,2010,(05):527.
[2]罗敏,高源统,彭文献,等.磁共振DWI 序列及表观扩散系数值动态评估原发性肝癌介入疗效的应用价值[J].介入放射学杂志,2010,(08):613.
 LUO Min,GAO Yuantong,PENG Wenxian,et al.The application of MR DWI sequences and apparent diffusion coefficient values in dynamic evaluation of the efficacy of transcatheter arterial chemoembolization for primary hepatocellular carcinoma[J].journal interventional radiology,2010,(05):613.
[3]刘福全,梁君,周经志,等.肝、脾及咽部血管瘤的介入治疗[J].介入放射学杂志,1997,(03):142.
[4]王茂强 唐文捷 林汉英 叶慧义 戴光海 王志强.经导管肝动脉化疗栓塞术后胆管损伤的临床意义[J].介入放射学杂志,2005,(05):493.
 WANG Mao-qiang TANG Wen-jie LIN Han-ying YE Hui-yi DAI Guang-hai WANG Zhi-qiang.Clinical implications of bile duct injury after transcatheter arterial chemoembolization[J].journal interventional radiology,2005,(05):493.
[5]郭启勇,本田伸行,陈在中,等.经皮经肝沸腾水溶性造影剂注入疗法治疗肝脏肿瘤——基础研究和临床应用[J].介入放射学杂志,1996,(01):47.
[6]李红,徐克,蒋旭远.对兔移植性肝脏肿瘤模型生存素表达调控的实验研究[J].介入放射学杂志,2009,(05):382.
 LI Hong,XU Ke,JIANG Xu-yuan.The regulation of As2O3on the expression of apoptosis inhibitory protein:an experimental study in rabbits with implanted liver tumor[J].journal interventional radiology,2009,(05):382.
[7]袁敏,杨继金,沈辉,等.肝动脉栓塞联合瘤体内博莱霉素注射治疗少血供性肝血管瘤[J].介入放射学杂志,2007,(06):387.
 YUAN Min,YANG Ji-jin,SHEN Hui,et al.Treatment of hypovascular hepatic cavernous hemangiomas by percutaneous intratumoral bleomycin injection after selective hepatic arterial embolization[J].journal interventional radiology,2007,(05):387.
[8]张继,吴春根,程永德,等.经皮椎体成形术治疗症状性椎体血管瘤远期疗效分析[J].介入放射学杂志,2007,(10):676.
 ZHANG Ji,WU Chun-gen,CHENG Yong-de,et al.Long term follow-up study of symptomatic vertebral hemangiomas treated by percutaneous vertebroplasty[J].journal interventional radiology,2007,(05):676.
[9]张琳,牟玮,王健,等.乙酸化学消融联合肝动脉化疗栓塞治疗肝脏恶性肿瘤[J].介入放射学杂志,2007,(12):831.
 ZHANG Lin,MU Wei,WANG Jian,et al.CT fluoroscopic guidance percutaneous acetic acid injection tumor ablation and TACE for the malignant liver tumor[J].journal interventional radiology,2007,(05):831.
[10]林志东,文宠佩,符孔,等.胃右动脉起源变异在肝癌介入治疗中的意义[J].介入放射学杂志,2010,(01):32.
 LIN Zhidong,WEN Chongpei,FU Kong,et al.The clinical significance of anomalous origination of right gastric artery in interventional treatment for hepato cellular carcinoma[J].journal interventional radiology,2010,(05):32.

备注/Memo

备注/Memo:
收稿日期:2010-03-17
更新日期/Last Update: 2010-05-15