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目的:研究和探讨经肝动脉栓塞治疗巨大肝血管瘤的价值和作用。方法:对12例巨大肝血管瘤进行超选择性肝动脉栓塞,先用碘油或超液态碘油栓塞肿瘤区小血管,再用明胶海绵细条栓塞供血动脉主干。结果:血管造影复查显示碘油聚积于肿瘤内,肿瘤血管消失,供血动脉闭塞,1～2 个月后复查肿瘤不同程度缩小,其中缩小50% 以上者9例,不足50% 者3 例,2 例栓塞后获手术切除,瘤体大部分纤维化,血管闭塞。结论:巨大肝血管瘤经动脉栓塞治疗是一种安全、简单、有效的治疗方法,认为对需手术切除的巨大肝血管瘤应先栓塞治疗
Objective: To study and discuss the value and effect of transcatheter arterial embolization in treating hepatocellular hemangiomas. Methods: Superselective hepatic artery embolization was performed on 12 cases of giant hepatic hemangiomas. Lipiodol or superfluid lipiodol was used to embolize the small vessels in the tumor area. Then the blood supply artery trunk was embolized with a thin strip of gelatin sponge. RESULTS: Angiographic review showed that iodized oil accumulates in the tumor, the blood vessels of the tumor disappear, and the blood supply artery is occluded. After 1 to 2 months, the tumors were reexamined in different degrees. Among them, 9 cases were reduced by more than 50%, and 3 cases were less than 50%. 2 After embolization, surgical resection was performed. Most of the tumors were fibrosis and the blood vessels were occluded. Conclusion: Transcatheter arterial embolization for giant hepatic hemangioma is a safe, simple, and effective treatment. It is considered that hepatic hemangioma requiring surgical resection should be treated with embolization.