介入栓塞治疗不同体积肝血管瘤的临床疗效及血流动力学特征

摘要/Abstract

摘要： 目的探讨平阳霉素碘油乳剂肝动脉栓塞治疗不同体积肝血管瘤的临床疗效。方法将30例肝血管瘤患者分为3组,分别为A组病灶< 5 cm者6例、B组病灶为5～8 cm 者15例、C组病灶> 8 cm者9例。采用世界卫生组织(WHO)实体瘤疗效评价标准对经肝动脉平阳霉素碘油栓塞治疗12~24个月后的疗效进行分析。结果介入栓塞治疗后A组血管瘤平均缩小率82.7%,栓塞有效率为100% (6/6)。B组血管瘤平均缩小率70.5%,栓塞有效率为86.7% (13/15)。C组平均缩小率63.5%,栓塞有效率为77.8% (7/9)。A组血管瘤平均缩小率及总有效率显著优于B、C组,差异有统计学意义(P<0.05)。B组血管瘤平均缩小率及总有效率高于C组,差异有统计学意义(P<0.05)。结论介入栓塞的疗效与肝血管瘤体积呈负相关。

关键词: 肝血管瘤, 平阳霉素碘油乳剂, 动脉栓塞术, 血流动力学, 疗效

李旭彤, 吴宝音, 李伟男, 王浩, 张涛. 介入栓塞治疗不同体积肝血管瘤的临床疗效及血流动力学特征[J]. 肝脏, 2016, 21(6): 485-488.

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