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目的探讨经肝动脉栓塞治疗肝脏海绵状血管瘤的临床应用价值。方法将2011年4月-2013年3月我院肝脏海绵状血管瘤患者66例分为两组,介入组35例采用经肝动脉对瘤体供血动脉进行栓塞的方法治疗;微波组31例采用微波热毁损疗法进行治疗,比较两组肿瘤大小、临床表现及并发症情况。结果术后随访复查1年,3月/次,超声结果显示,两组瘤体均呈进行性缩小状态。其中,介入组瘤体平均缩小26.5%(3个月)、40.9%(6个月)、59.1%(9个月)、68.2%(12个月),术后12个月复查,4例瘤体消失;微波组术后3个月复查瘤体平均缩小>50%,瘤体血供减少比较明显,术后6个月复查,仅1例瘤体直径>8cm体积增加,第2次采用微波进行治疗后,瘤体血供完全消失。术后1年,所有患者均未发生严重并发症。结论两种方法均有较好疗效,并发症发生率较低,但微波热损毁治疗效果优于经肝血管介入治疗法,临床需根据患者实际情况选择。
Objective To investigate the clinical value of transcatheter hepatic cavernous hemangioma treated by hepatic artery embolization. Methods 66 cases of hepatic cavernous hemangioma in our hospital from April 2011 to March 2013 were divided into two groups. 35 cases in the intervention group were treated with hepatic artery embolization of the feeding artery of the tumor; 31 cases in the microwave group Microwave heat damage therapy for treatment, comparing the two groups of tumor size, clinical manifestations and complications. Results The patients were followed up for 1 year and 3 months respectively. Ultrasound results showed that the tumors of both groups showed progressive shrinkage. Among them, the average tumor size of intervention group was reduced by 26.5% (3 months), 40.9% (6 months), 59.1% (9 months), 68.2% (12 months), 12 months after operation, Body disappeared; microwave group 3 months after the review of the average tumor shrinkage> 50%, the tumor blood supply decreased significantly, 6 months after the review, only 1 tumor diameter> 8cm volume increase, the second microwave After treatment, the blood supply to the tumor completely disappeared. One year after operation, no serious complications occurred in all patients. Conclusions Both methods have better curative effect and lower complication rate, but the therapeutic effect of microwave heat damage is superior to that of hepatic vascular interventional therapy. The clinical choice should be based on the actual situation of patients.