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目的:探讨无水乙醇—平阳霉素碘化油乳剂治疗肝血管瘤的疗效。方法:对48例肝血管瘤行不同比例无水乙醇—平阳霉素碘化油乳剂经导管治疗;动物实验观察经狗肝动脉内注射无水乙醇—平阳霉素碘化油乳剂复制血管栓塞剂对血管栓塞的效果及肝脏的损伤情况。结果:血管瘤完全消失者达89.2％,部分消失者10.8％,其中瘤体缩小>50％者为90.7％,瘤体缩小30％～50％者为9.3％,无复发及严重并发症。结论:对肝血管瘤的介入治疗,1:1比例无水乙醇 平阳霉素碘化油乳剂是一组安全有效的栓塞材料,临床治疗效果满意。
Objective: To investigate the effect of absolute ethanol - pingyangmycin iodized oil emulsion in the treatment of hepatic hemangiomas. Methods: Forty-eight patients with hepatic hemangiomas underwent catheterization with different proportions of ethanol-bleomycin iodinated oil emulsion. Animals were treated with intra-hepatic artery injection of ethanol-bleomycin iodinated oil emulsion to replicate vascular embolization agent The effect of vascular embolism and liver damage. Results: The complete disappearance of hemangiomas was 89.2%, with 10.8% of those disappeared. The rate of tumor shrinkage was> 50% was 90.7%. The rate of tumor reduction was 30% ~ 50%, 9.3%. There was no recurrence and severe complications. Conclusion: The intervention of hepatic hemangioma, a 1: 1 ratio of ethanol Pingyang lipiodol emulsion is a safe and effective embolic material, with satisfactory clinical results.