Clinical analysis of interventional embolization in the treatment of 57 hepatic hemangioma cases
Zhu Hai-ta
Abstract
Zhu Hai-ta
Abstract
Objective To analyze and investigate the clinical effect by Pingyangmycin lipiodol emulsion(PLE) super choice hepatic artery embolization in interventional treatment of hepatic hemangioma. Methods Super choice hepatic artery embolization treatment was applied for 57 hepatic hemangioma patients. 41 case among them as group B received PLE combined with polyvinyl alcohol granule for embolization treatment, and the other 16 cases as group A received LE, contrast medium combined with polyvinyl alcohol granule for mixed emulsion in embolization treatment. In 3~12 months after operation, deposition of lipiodol, changes of tumor size and complications condition were observed. Results All the patients had mild thickening in feeding artery shown by preoperative hepatic angiography, and they might have compression displacement signs due to big tumor size. Early artery blood sinus angiography showed that blood sinus dye lasted till late stage of liver parenchyma, with the manifestation of early leave and late return. After embolization, deposition of lipiodol in tumor was good. Angiography reexamination showed absence of hemangioma dye and disappearance of feeding artery. Comparison between curative effects between the two groups in 12 months after operation showed a statistically significant difference(P0.05). Conclusion Combination of Pingyangmycin lipiodol emulsion and polyvinyl alcohol granule is an ideal treatment method with precise effect in treating hepatic hemangioma by embolization.
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Objective To analyze and investigate the clinical effect by Pingyangmycin lipiodol emulsion(PLE) super choice hepatic artery embolization in interventional treatment of hepatic hemangioma. Methods Super choice hepatic artery embolization treatment was applied for 57 hepatic hemangioma patients. 41 case among them as group B received PLE combined with polyvinyl alcohol granule for embolization treatment, and the other 16 cases as group A received LE, contrast medium combined with polyvinyl alcohol granule for mixed emulsion in embolization treatment. In 3~12 months after operation, deposition of lipiodol, changes of tumor size and complications condition were observed. Results All the patients had mild thickening in feeding artery shown by preoperative hepatic angiography, and they might have compression displacement signs due to big tumor size. Early artery blood sinus angiography showed that blood sinus dye lasted till late stage of liver parenchyma, with the manifestation of early leave and late return. After embolization, deposition of lipiodol in tumor was good. Angiography reexamination showed absence of hemangioma dye and disappearance of feeding artery. Comparison between curative effects between the two groups in 12 months after operation showed a statistically significant difference(P0.05). Conclusion Combination of Pingyangmycin lipiodol emulsion and polyvinyl alcohol granule is an ideal treatment method with precise effect in treating hepatic hemangioma by embolization.
Key concepts: Medicine, Lipiodol, Pingyangmycin, Embolization, Radiology, Angiography, Hemangioma, Hepatic artery embolization