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目的评价经肝动脉栓塞治疗肝门部附近海绵状血管瘤的疗效和价值。方法14例肝门部海绵状血管瘤使用平阳霉素碘化油乳剂+明胶教海绵颗粒经肝动脉栓塞,术后随访3～36月,观察栓塞前、后瘤体的变化,临床症状缓解情况。结果随访期间,14例临床症状明显缓解,瘤体均有不同程度的缩小,在术后12月CT复查时,瘤体直径由术前7.33±1.8cm缩小至3.5±1.7cm(P<0.05),无严重并发症。结论肝动脉栓塞术是治疗肝门部海绵状血管瘤的首选方法。
Objective To evaluate the efficacy and value of transcatheter arterial embolization in the treatment of cavernous hemangiomas near the hilar. Methods Fourteen hilar cavernous hemangiomas were treated with Pingyangmycin iodized oil emulsion + gelatin sponge particles by hepatic artery embolization. The patients were followed up for 3 ~ 36 months. The changes of the tumor before and after embolization were observed, and the clinical symptoms were relieved . Results During the follow-up period, the clinical symptoms of 14 patients were relieved and the tumor size was reduced to some extent. At the time of CT examination at 12 months after operation, the diameter of the tumor decreased from 7.33 ± 1.8 cm to 3.5 ± 1.7 cm (P <0.05) No serious complications. Conclusion Hepatic artery embolization is the first choice for the treatment of cavernous hemangiomas in the hilar.