肝脏血管瘤的手术指征和手术方法选择（附46例报告）

目的 探讨肝脏血管瘤的手术指征和手术方法。方法 回顾性分析采用手术治疗46例肝脏血管瘤病人资料，判断其手术指征，评价不同手术方法的治疗效果厦其手术并发症发生情况。结果 46例病人中，19例采用肝叶或肝段切除术，17例出现并发症，以胸腔积液和膈下积液多见，采用血管瘤摘除术的27例病人无并发症。结论 对肝脏血管瘤直径大于5cm并有明显临床症状，或不能除外恶性肿瘤的病人可以采用手术治疗。血管瘤摘除术是安全有效、并发症少的手术方法。

Surgical indicatio and method for hepatic hemangioma(Report of 46 Cases)

Objective To evaluate the surgical indicatio and various methods for the hepatic hemangioma. Methods Foytysix patients with hepatic hemangionma were analyzed retrospectively after surgical treating to evaluate the surgical indicatios, the results of various operations and the operative complications. Results In forty - six patients, nineteen patients underwent hepatic Iobectomy or segmentectomy and the operative complica tions occurred in seventeen cases, pleural effusions and subphrenic collection were the common complications. Twenty - seven patients were treated with the hemangioma enucleation, and no complications were found after operation. Conclusions Surgical management is indicated for the hepatic hemangioma more than 5cms with obviously clinical manifestation, or uncertain diagnosis with a suspicion of malignancy, Hemangioma enucleation is a safe and effective surgical method with less complications.