Hepatic cavernous hemangioma of the intervention (report of 32 cases).docVIP

 PAGE \* MERGEFORMAT 9 Hepatic cavernous hemangioma of the intervention (report of 32 cases) Abstract: This paper reports 32 cases of proven hepatic cavernous hemangioma, hepatic artery, with iodized oil and gelatin sponge embolization of tumor. Visible tumor lipiodol deposition, to achieve occlusion of tumor blood vessels, tumor shrink fibrosis purposes. And the mechanism and efficacy of their treatment, X-ray findings and tumor fibrosis was analyzed. Keywords:: liver; cavernous hemangioma; iodized oil Cavernous hemangioma of the liver (CHL) is a common benign tumor of the liver. With modern medical technology development, the treatment of CHL many ways, are on the hospital since 1990, admitted 32 cases of patients with iodized oil plus gelatin sponge treatment, are reported as follows. Materials and Methods First, clinical data 32 patients, 17 were males and 15 females, age 21, a 58-year-old, with an average 39.2 years of age. All through the B-, computer tomography (CT) and hepatic artery or celiac artery angiography diagnosis of hepatic hemangioma. Maximum tumor diameter is 11.5cm, the smallest 1.4cm; a single lesion in 15 cases, two or more lesions in 17 cases; lesion in the left lobe of liver in 4 cases, right lobe in 18 cases, two leaves were 11 cases. All patients had serum alpha-fetoprotein (AFP) and liver function are normal range. Second, embolization method Using Seldinger method through the femoral artery, conventional line of celiac artery or common hepatic arteriography. Confirmed the diagnosis, will be placed in CHL blood-vessel catheter or hepatic artery, on TV under the surveillance perspective, with 40% of iodized oil to 1: l ratio by adding 60% compound meglumine diatrizoate, repeated suction made emulsion, slowly injected through the catheter until the CHL has been fully filled with iodized oil. Including three cases of adding gelatin sponge 3mmX10mm fragments, each with three blood ves