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目的：报告经ＣＴ和Ｂ超检查确诊的４０例，４３个肝脏海绵状血管瘤（瘤体最大１５ｃｍ×１３ｃｍ，最小４ｃｍ×４２ｃｍ），收到良好疗效。方法：在超声引导下平阳霉素瘤内直接注射治疗。结果：肿瘤完全消失１４例；瘤体缩小８０％以上２１例；瘤体缩小５０％～８０％３例；失访２例。结论：平阳霉素瘤内用药量小，无明显副作用。治疗后病例随访最长时间３年以上，疗效稳定，提示了超声引导下平阳霉素瘤内直接注射治疗肝脏海绵状血管瘤，其方法简便、安全可靠，效果明显。
OBJECTIVE: To report 40 cases and 43 hepatic cavernous hemangiomas (maximum 15 cm x 13 cm, minimum 4 cm x 4 2 cm) diagnosed by CT and B-ultrasound and received good results. Methods: Intralesional injection of Pingyangmycin was guided by ultrasound. Results: The tumor completely disappeared in 14 cases; the tumor was reduced by more than 80% in 21 cases; the tumor was reduced by 50% to 80% in 3 cases; and 2 cases were lost to follow-up. Conclusion: The dosage of Pingyangmycin is small and there are no obvious side effects. After treatment for the longest follow-up of more than 3 years, the curative effect was stable, suggesting that ultrasound-guided injection of pingyangmycin intratumoral injection to treat hepatic cavernous hemangioma is simple, safe, and effective.