无症状性肝血管瘤的预后观察

目的：比较肝血管瘤选择手术治疗和随访观察两种处理方法的结果。方法：回顾分析2003年1月至2013年1月在我院就诊的肝血管瘤病例90例的资料。其中50例随访观察病例为观察组,观察统计在随访观察过程中有无肿瘤相关症状出现以及肿瘤大小变化;40例手术治疗病例为手术组,统计手术并发症、术后与手术有关不适等。结果：两组的预后比较差异有统计学意义（P〈0.01）,手术治疗因手术并发症及术后产生局部不适症状多,其安全性不如随访观察。结论：对无症状性肝血管瘤患者应首选随访观察,手术治疗应严格掌握适应证。

Prognosis of asymptomatic hepatic hemangioma

Objective： To compare the prognosis of hepatic hemangioma for surgical treatment and follow-up observations. Methods： Follow-up was carried out from January 2003 to January 2013 in the first affiliated hospital of Xinjiang Medical University. Totally 90 hepatic hemangioma patients were retrospectively analyzed,who were divided into two groups. 50 cases in group one were followed up symptoms related to tumors and tumor sizes, meanwhile 40 cases in group two were recedived surgical treatment,whose post- operative complications and discomforts were observed. Results： There was a significant difference of the prognosis between surgical and follow up groups（ P〈0. 01）. In surgical treatment group,postoperative complications such as local discomfort occurred. As compared to the surgical group,the prognosis of follow up group was more secured. Conclusion： Asymptomatic hepatic hemangiomas should follow-up for observation,operation treatment indications should be strictly controlled.