Application of ultrasound-guided percutaneous pingyangmycine injection therapy for hepatic cavernous hemangioma

Objective:To explore the value of percutaneous intra-temporal injection of Pingyangmycine for hepatic cavernous hemangioma in clinical practice.Methods:Forty-eight patients of hepatic hemangiom cavernous with 62 tumor nodules were treated by intra-tumor injection of mixed liquid of 1% Lidocaine and Pingyangmycine under ultrasound guidance.The diameter of lesions was ranged from 3 to 8.5 cm(mean,5.8±0.7 cm).Each lesion was treated with one or two sessions.Three and six months after the operation,the patients were rechecked by ultrasound to evaluate the curative effect.Results:In the 48 patients with 62 tumor nodules were followed up,29 lesion disappeared basically or completely in half a year with the cure rate 46.7%,and 33 lesion were smaller than 20% in diameter with the effective rate 53.3%.None of them enlarge,the total effective was 100%.The blood flow inside or around the lesions could not be detected by CDFI.Conclusion:Ultrasound-guided percutaneous Pingyangmycine injection therapy for hepatic cavernous is able to destroy the tumor nodules,with less complication,and is easy to operate,which is valuable for wide application.