[1]生守鹏,郑加生.动脉栓塞联合CT引导热消融治疗肝血管瘤[J].介入放射学杂志,2015,(11):996-999.
 SHENG Shou-peng,ZHENG Jia-sheng.Transcatheter arterial embolization combined with CT-guided thermal ablation for the treatment of hepatic hemangiomas[J].journal interventional radiology,2015,(11):996-999.
点击复制

动脉栓塞联合CT引导热消融治疗肝血管瘤 ()

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:
2015年11期
页码:
996-999
栏目:
临床研究
出版日期:
2015-11-25

文章信息/Info

Title:
Transcatheter arterial embolization combined with CT-guided thermal ablation for the treatment of hepatic hemangiomas
作者:
生守鹏 郑加生
Author(s):
SHENG Shou-peng ZHENG Jia-sheng
Minimally-Invasive Interventional Center of Oncology, Affiliated Beijing Youan Hospital, Capital Medical University, Beijing 100069, China
关键词:
【关键词】 肝 血管瘤 栓塞 消融
文献标志码:
A
摘要:
【摘要】 目的 评价经动脉栓塞(TAE)联合CT引导热消融(射频消融/微波消融,RFA/MWA)治疗肝血管瘤的疗效及安全性。 方法 回顾分析2008年11月至2013年7月TAE联合CT引导热消融治疗的肝血管瘤患者26例,其中单发14例,多发12例,有症状患者8例。病灶长径5.0~13.0 cm,平均(7.6±2.4) cm。先行TAE治疗,再行CT引导下RFA/MWA治疗,观察完全消融率、病灶缩小程度、手术并发症。结果 26例患者中行RFA治疗9例,MWA 17例,共消融病灶27个,行消融治疗28次。23个病灶实现了完全消融,病灶的完全消融率为85.2%(23/27),病灶缩小12.9%~66.3%,平均(31.0±19.6)%。有症状患者经治疗后症状全部消失。消融治疗后出现肝包膜下出血1例、血红蛋白尿1例、胆汁瘤1例,经治疗后好转,总体并发症发生率为11.5%,无严重并发症及死亡患者。结论 TAE联合CT引导热消融治疗肝血管瘤疗效确切,无严重并发症及死亡患者,可作为肝血管瘤治疗的选择之一。

参考文献/References:

[1] Jr MA, Papaiordanou F, Goncalves JM, et al. Spontaneous rupture of hepatic hemangiomas: A review of the literature[J]. World J Hepatol, 2010, 2: 428-433.
[2] Yamamoto T, Kawarada Y, Yano T, et al. Spontaneous rupture of hemangioma of the liver: treatment with transcatheter hepatic arterial embolization[J]. Am J Gastroenterol, 1991, 86: 1645-1649.
[3] Herman P, Costa ML, Machado MA, et al. Management of hepatic hemangiomas: a 14-year experience[J]. J Gastrointest Surg, 2005, 9: 853-869.
[4] Yoon SS, Charny CK, Fong Y, et al. Diagnosis, management, and outcomes of 115 patients with hepatic hemangioma[J]. J Am Coll Surg, 2003, 197: 392-402.
[5] 曾庆乐, 陈 勇, 赵剑波, 等. 介入与外科手术治疗症状性肝海绵状血管瘤的成本效益分析[J]. 介入放射学杂志, 2009, 18: 93-96.
[6] 蒋旭远, 徐 克. 平阳霉素碘油乳剂动脉栓塞治疗肝血管瘤的中远期疗效评价[J]. 介入放射学杂志, 2012, 21: 31-34.
[7] Malagari K, Alexopoulou E, Dourakis S, et al. Transarterial embolization of giant liver hemangiomas associated with Kasabach-Merritt syndrome: a case report[J]. Acta radiol, 2007, 48: 608-612.
[8] 周胜利, 王宗盛, 张根山, 等. 肝海绵状血管瘤介入治疗及并发症预防[J]. 介入放射学杂志, 2006, 15: 370-372.
[9] Cui Y, Zhou LY, Dong MK, et al. Ultrasonography guided percutaneous radiofrequency ablation for hepatic cavernous hemangioma[J]. World J Gastroenterol, 2003, 9: 2132-2134.
[10] Tang XY, Wang Z, Wang T, et al. Efficacy, safety and feasibility of ultrasound-guided percutaneous microwave ablation for large hepatic hemangioma[J]. J Dig Dis, 2015, 16: 525-530.

相似文献/References:

[1]刘温豹,谢荣,李群,等.经动脉栓塞治疗舌下腺血管瘤一例[J].介入放射学杂志,2000,(03):160.
[2]史无例,孟庆江,王艳清,等.颈外动脉栓塞治疗颌面部血管瘤[J].介入放射学杂志,1999,(01):15.
[3]高启忠,王健美,罗香国,等.摘取折断脑造影导管一例[J].介入放射学杂志,1994,(01):14.
[4]程永德,张福琛,金健行,等.原发性肝癌的诊断与介入性治疗[J].介入放射学杂志,1995,(01):39.
[5]孔铭新,郝刚,赵廷常,等.介入急诊治疗严重鼻出血二例[J].介入放射学杂志,2000,(01):24.
[6]马威,封兴华,史无例.头颈部治疗性动脉栓塞术的应用[J].介入放射学杂志,2000,(01):53.
[7]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848.
 ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(11):848.
[8]何 煜,吴春根,王 涛,等.经皮骨成形术治疗跟骨血管瘤1例[J].介入放射学杂志,2016,(11):1014.
 HE Yu,WU Chun- gen,WANG Tao,et al.Percutaneous osteoplasty for osseous hemangioma of the calcaneus: report of one case[J].journal interventional radiology,2016,(11):1014.
[9]汪 松,尹传高,潘 登,等.经导管动脉硬化栓塞联合普萘洛尔治疗婴幼儿颌面部巨大血管瘤[J].介入放射学杂志,2015,(10):853.
 WANG Song,YIN Chuan- gao,PAN Deng,et al.Transcatheter arterial embolization using hardening agent combined with oral propranolol for the treatment of giant hemangioma at maxillofacial region in infants[J].journal interventional radiology,2015,(11):853.
[10]赵开飞,利 峰,石荣书. 介入治疗左中纵隔海绵状血管瘤一例[J].介入放射学杂志,2013,(12):1014.
 ZHAO Kai? fei,LI Feng,SHI Rong? shu..Interventional therapy of cavernous hemangioma located at left middle mediastinum: report of one case[J].journal interventional radiology,2013,(11):1014.

备注/Memo

备注/Memo:
(收稿日期:2014-12-16)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-11-24