超声引导下穿刺注射平阳霉素治疗肝血管瘤68例

    Ultrasound-guided injection of pingyangmycin for treatment of liver hemangioma

    • 摘要: 目的:探讨超声引导下肝血管瘤内注射平阳霉素的疗效。方法:对68例肝血管瘤患者行超声引导下经皮穿刺注射平阳霉素(瘤体直径<5 cm、5~8 cm、>8 cm,用量分别为8 mg、16 mg和24~32 mg)。术后随访6个月。结果:治疗1次48例,治疗2次11例,9例治疗3次后均治愈,瘤体内血流消失,总有效率为100%。术后5例出现低热,8例出现上腹痛伴呼吸困难,2例出现恶心、呕吐,对症处理后症状消失。结论:超声引导下介入治疗肝血管瘤是一种操作简单、方便、易行,安全、无严重并发症,可用于临床治疗肝血管瘤的有效方法。

       

      Abstract: Objective: To assess the clinical effect of ultrasound-guided percutaneous injection of pingyangmycin on liver hemangioma.Methods: Sixty-eight cases of liver hemangioma underwent ultrasound-guided percutaneous injection of pingyangmycin.For tumors with a diameter <5 cm,5-8 cm and >8 cm,the dose was 8 mg,16 mg and 24-32 mg,respectively.All the cases were followed up for 6 months.Results: Forty-eight cases of liver hemangioma were cured by one operation,11 cases were cured by 2 treatments and 9 cases by 3.The blood in the hemangioma vanished,with an overall effective rate of 100%.After the operation,5 patients had low fever,8 had upper abdominal pain and dyspnea,and 2 patients felt sick and vomited.After treatment,all the symptoms disappeared.Conclusions: Ultrasound-guided percutaneous injection of pingyangmycin is an effective therapy for treatment for liver hemangioma.It is safe,convenient,easy to operate and has few complications

       

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