Influence of different blood supply typing on the efficacy of hepatic artery chemoembolization in the treatment of patients with hepatic hemangioma

Abstract

Abstract: Objective To explore the influence of different blood supply typing on the efficacy of hepatic artery chemoembolization in the treatment of hepatic hemangioma patients, and to provide a basis for clinical treatment of hepatic hemangioma. Methods In this retrospective study, 102 patients with hepatic hemangiomas treated with hepatic artery chemoembolization admitted to our hospital during February 2019 to February 2024 were included. According to the different blood supply types, the patient were divided into a hupovascular group (34 cases), a moderately vascular group (34 groups), and a hupervascular group (34 cases). The clinical efficacy, blood biochemical indicators and incidence of complications were compared among three groups. Results At 1 week postoperatively, the clinical efficacy of the blood-rich group was 88.24%, which was higher than that of the intermediate blood-supply group and the lack of blood-supply group (64.71% and 44.12%, P<0.05). The amount of bleomycin-iodized oil in the rich blood supply group was (12.02±1.01) mL, which was higher than that in the intermediate blood supply group and the lack of blood supply group [(7.58±1.05) mL and (4.85±1.02) mL, respectively, P<0.05]. Compared with the preoperative period, serum ghrelin, total bilirubin, and direct bilirubin levels increased in all three groups at 1 week postoperatively, but were lower in the rich blood supply group at (101.25±20.45) U/L, (11.65±1.02) μmoL/L, and (10.58±1.23) μmoL/L than those of the moderate blood supply group at (142.35±21.55) U/L, (13.69 ± 1.62) μmoL/L, (13.25 ± 1.14) μmoL/L in the spent blood supply group [168.56 ± 22.36) U/L, (15.56 ± 1.58) μmoL/L, (15.25 ± 1.02) μmoL/L, respectively, P<0.05]. Conclusion After treatment by hepatic artery chemoembolization, the clinical efficacy of hepatic hemangioma rich blood supply type was higher, which could improve their clinical indexes and optimize liver function, and the safety of different blood supply subtypes is good.

Key words: Transcatheter arterial chemoembolization, Hepatic hemangioma, Blood supply typing

YAO Yu, XU Chun-yang, REN Jian-wu. Influence of different blood supply typing on the efficacy of hepatic artery chemoembolization in the treatment of patients with hepatic hemangioma[J]. Chinese Hepatolgy, 2025, 30(9): 1254-1257.

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