The therapeutic effect of pingyangmycin lipiodol of ultra fluid emulsion embolization for hecpatic cavernous hemangioma

Objective To study the effect of embolization with pingyangmylin-lipiodol of ultra fluid emulsion(PLE) in treatment of cavernous hemangioma of liver(CHL).Methods 12 cases were treatment with pingyangmylin-lipiodol of ultra fluid emulsion by transcatheter arterial embolization with seldinger technique.The catheter was super-selectively sent into the supplying artery of tumof.5-10ml lidocaine and 5-30ml of PLE wrer slowly injection.The embolization was conducter in several times with patients with size of tumor larger than 10cm or tumor with multiple suppling arteries and tumor located more than one area.During 2-48 months follow-up after the operation.The change of the tumor diameter before and after the embolizations were compared by using CT and ultrasound.The clinical symptoms and the complications were also observed.Results The CHL of all the 12 cases were filled up by PLE.The foci were completely vanished in 5 cases reduced by over 50% in 7 cases resectively.The improving rate of the clinical symptoms reached 92%.one cases complicated with cholecystitis,eight cases complicated with abnormal function in liver and recovered after treatment.Conclusion The PLE embolization in treatment with hepatic cavernous hemangioma proved to be reliable safe.Minimally invasive and little side effect.This therapy can be the first method to choice in treatment with CHL.