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目的:探讨平阳霉素(PYM)、碘化油和明胶海绵栓塞硬化治疗肝海绵状血管瘤疗效及其DSA造影分型与疗效的关系。方法:对53例肝海绵状血管瘤经股动脉插管行PYM、碘化油和明胶海绵栓塞硬化治疗,随访1个月～12个月,按照肝血管瘤的分型分析治疗效果。结果:全部53例患者均成功进行了介入栓塞治疗,49例瘤体不同程度缩小,其中27例(50.9%)大于50%,18例(33.9%)不足50%,4例(7.6%)不足20%,4例(7.6%)稳定,总有效率92.4%。所有患者无严重并发症出现。结论:对于瘤体较大不宜外科手术治疗的肝海绵状血管瘤病例,PYM、碘化油加明胶海绵栓塞硬化治疗效果明显,是一种安全有效的方法。
Objective: To investigate the efficacy of PYM, iodized oil and gelatin sponge embolization in the treatment of hepatic cavernous hemangioma and the relationship between DSA angiography and curative effect. Methods: Fifty-three patients with hepatic cavernous hemangioma were treated with PYM, iodized oil and gelatin sponge embolization sclerosis. The follow-up was from 1 month to 12 months. The therapeutic effect was analyzed according to the type of hepatic hemangioma. RESULTS: Totally 53 patients were successfully treated with interventional embolization. Forty-nine patients were reduced to varying degrees, of which 27 (50.9%) were over 50%, 18 (33.9%) were under 50% and 4 (7.6% 20%, 4 cases (7.6%) stable, the total effective rate of 92.4%. No serious complications occurred in all patients. Conclusion: It is a safe and effective method for the treatment of hepatic cavernous hemangiomas with large tumor and not suitable for surgical treatment. PYM, iodized oil plus gelatin sponge embolization sclerotherapy is effective.