【摘要】 目的 探讨肝动脉栓塞治疗肝海绵状血管瘤的方法，了解其临床效果、不良反应及并发症。 方法 治疗肝血管瘤16例，瘤体大小为3.0cm×2.0cm～9.0cm×10.0cm。采用seldinger技术股动脉插管，导管超选择插至肝血管瘤供血动脉后，灌注平阳霉素碘化油乳剂。 结果 栓塞成功率100%，无严重并发症。16例分别于术后6～18个月行CT或B超随访。瘤体缩小>50%者10例，>30%者4例，肿瘤完全消失1例，缩小不明显1例。全部患者中临床症状消失11例，明显减轻4例。总有效率94%(15/16)，术后无严重并发症。 结论 肝动脉栓塞是治疗肝海绵状血管瘤创伤小，并发症少，临床效果好的一种治疗方法。

    【关键词】 肝海绵状血管瘤;肝动脉栓塞;介入放射学

    Clinical application of arterial embolization for the treatment of hepatic cavernous hemangioma

    XU Jian-hua，ZHOU Ai-min，MIAO Yong.

    DSA Room，3rd Affilicated Hospital，Nanjing Medical University，Yizheng211900，China

    【Abstract】 Objective To explore the curative effects，side effects and complications of arterial embolization for the treatment of hepatic cavernous hemangioma.Methods 16cases of cavernous hemangioma of liver were treatment with pingyangmycin lipiodol emulsion(PLE)by transcatheter arterial embolization with Seldinger technique.The sizes of tumor varied from3.0cm×2.0cm to9.0cm×10.0cm.Results 16patients underwent technically successful em-bolization.The rate of success was100%.No serious complications occurred.16cases were followed up by CT/USG for6～18months.The size of tumor was decreased more than50%in10cases ......