论文部分内容阅读
目的 :评价平阳霉素碘化油乳剂 (PLE)与无水乙醇 碘化油乳剂 (ELE)经肝动脉栓塞治疗肝海绵状血管瘤 (CHL)的疗效并进行比较。材料和方法 :回顾性分析经肝动脉栓塞治疗 2 1例肝脏海绵状血管瘤 ,15例肝动脉注入PLE ,6例肝动脉注入ELE ,观察其栓塞前后肿瘤大小变化、临床症状的缓解和并发症发生情况。结果 :PLE与ELE栓塞后肝海绵状血管瘤均有明显缩小 ,临床症状缓解 ,术后 6个月随访观察 ,肿瘤最大直径分别由术前 7.5 7± 3 .91cm、7.5 0± 1.5 9cm缩小为 4.3 3± 0 .80cm、3 .72± 0 .45cm ,有显著性差异 (P <0 .0 5 ) ,但PLE栓塞术后并发症明显较ELE要轻。结论 :介入栓塞治疗CHL疗效肯定 ,PLE肝动脉栓塞治疗CHL的安全性优于ELE。
OBJECTIVE: To evaluate the efficacy and safety of hepatic cavernous hemangiomas (CHL) treated with hepatic arterial embolization with bleomycin lipiodol emulsion (PLE) and anhydrous ethanol iodized oil emulsion (ELE). MATERIALS AND METHODS: Twenty-one cases of hepatic cavernous hemangiomas were treated with hepatic artery embolization. PLE was injected into the hepatic artery in 15 cases and ELE was injected into the hepatic artery in 6 cases. The changes of tumor size, clinical symptoms and complications were observed before and after embolization What happened? Results: After the embolization of PLE and ELE, hepatic cavernous hemangiomas were significantly reduced and the clinical symptoms were relieved. After 6 months of follow-up, the maximum diameter of tumor was reduced from 7.5 7 ± 3.91 cm and 7.5 0 ± 1.5 9 cm 4.3 3 ± 0.80cm, 3.72 ± 0.45cm, there was a significant difference (P <0.05), but the complication after PLE was significantly lower than ELE. Conclusion: The efficacy of interventional embolization in the treatment of CHL is positive. The safety of PLE with hepatic arterial embolization is superior to that of ELE in CHL.