摘要
目的比较不同动脉造影分型婴幼儿肝血管瘤栓塞介入治疗的临床效果。方法回顾性分析郑州大学附属儿童医院2016年1月至2019年5月收治的行肝动脉栓塞介入治疗的46例肝血管瘤患儿的临床资料。根据动脉造影分型不同将患儿分为富血供组30例和乏血供组16例。比较2组手术前后血管瘤最大直径、临床疗效及术后并发症情况。结果组内比较,术后3个月和术后6个月,2组血管瘤最大直径均较术前显著缩小,差异有统计学意义(均P<0.05)。组间比较,术前及术后3个月2组血管瘤最大直径差异无统计学意义(均P>0.05);术后6个月,富血供组血管瘤最大直径较乏血供组显著缩小,差异有统计学意义(P<0.05)。与乏血供组比较,富血供组术后3个月及术后6个月的总有效率显著升高,差异有统计学意义(均P<0.05)。治疗后富血供组的一般并发症发生率显著高于乏血供组,差异有统计学意义(P<0.001);2组严重并发症发生率比较,差异无统计学意义(P>0.05);治疗后富血供组的并发症总发生率显著高于乏血供组,差异有统计学意义(P<0.001)。结论肝动脉栓塞介入治疗不同动脉造影分型婴幼儿肝血管瘤,在临床疗效及术后并发症等方面存在差异,临床医师应根据血管瘤特点慎重选择治疗方式。
Objective To compare the effects of interventional embolization on different arteriographic types of infantile hepatic hemangioma.Methods Data of 46 children treated with interventional embolization for hepatic hemangioma in Children’s Hospital Affiliated to Zhengzhou University from January 2016 to May 2019 were analyzed retrospectively.According to the arteriographic types,these children were divided into two groups:rich blood supply group(n=30)and poor blood supply group(n=16).The maximum diameter of hemangioma,therapeutic effect and postoperative complications were compared between the two groups.Results The maximum diameter of hemangioma significantly decreased in both groups 3 and 6 months after treatment(P<0.05).There were no significant differences in maximum diameter of hemangioma between the two groups before and 3 months after treatment(P>0.05).Compared with poor blood supply group,the maximum diameter of hemangioma decreased 6 months after operation and the total effective rate increased 3 and 6 months after operation in rich blood supply group(P<0.05).Furthermore,the incidence of general complications and total incidence of complications in rich blood supply group were higher than those in poor blood supply group(P<0.001).However,no significant difference in the incidence of severe complications was found between the two group(P>0.05).Conclusion There were differences in therapeutic effect and postoperative complications in the treatment of different arteriographic types of infantile hepatic hemangioma with interventional embolization.Clinicians should carefully choose the treatment according to the characteristics of hemangioma.
作者
狄奇
陈志平
时胜利
张靖
胡靖
刘景
DI Qi;CHEN Zhi-ping;SHI Sheng-li;ZHANG Jing;HU Jing;LIU Jing(Department of Radiology,Children’s Hospital Affiliated to Zhengzhou University,Henan Children’s Hospital,Zhengzhou 450018,China;Department of Hemangioma Intervention,Guangzhou Women and Children’s Medical Center,Guangzhou 510623,China)
出处
《实用临床医学（江西）》
CAS
2020年第7期48-51,共4页
Practical Clinical Medicine
关键词
肝血管瘤
肝动脉栓塞介入治疗
血供
疗效
并发症
hepatic hemangioma
hepatoarterial embolization
blood supply
therapeutic effect
complication
