介入栓塞及环形缝扎术治疗体表巨大血管瘤

目的通过8例体表巨大血管瘤的手术治疗,阐明血管瘤选用手术切除是一种根治性有效方法.方法术前瘤体血管造影,了解瘤体病变范围.手术首先行血管瘤主要供血血管栓塞,防止术中大出血,再行瘤体周围环形缝扎可减少出血.术中可加用肿胀麻醉技术进一步减少术中出血.8例体表血管瘤范围为27.3 cm×6.0 cm～31.2 cm×9.1 cm,手术一期均彻底切除.结果术后随访时间8个月～4年,平均13个月,血管病均无复发.结论血管造影是制订手术方案的重要依据;介入栓塞技术可减少血管瘤主要供血血管出血;瘤体周围环形缝扎及肿胀麻醉技术可进一步减少术中出血,提高了手术安全系数,有临床推广价值.

TREATMENT OF HUGE HEMANGIOMA WITH INTERVENTION- EMBOLISM AND CIRCUMFERENTIAL SUTURE MANEUVER

OBJECTIVE: To demonstrate the effectiveness of operative resection for patients with huge hemangioma. METHODS: Eight cases were adopted in this study, including 5 males and 3 females. Among them, 5 cases with hemangioma on the face and neck, 1 case on the back, 1 case on the buttock, and 1 case on the leg. The maximal size of the hemangioma was 31.2 cm x 9.1 cm and the minimal size was 27.3 cm x 6.0 cm. Before operation, angiography was taken to find out the size of tumor. During operation, intervention-embolism and circumferential suture were carried out to control bleeding so that resection of tumor was practicable. RESULTS: There had been successful result in all the cases with huge hemangioma. No recurrence were found with following up 8 months to 4 years(averaged 13 months). CONCLUSION: Angiography of the hemangioma is important in providing the informations for the operation design. The intervention-embolism and circumferential suture can control and reduce the bleeding in operation. Combine of these techniques is essential for the treatment of huge hemangioma.