肝海绵状血管瘤的外科治疗(附35例)

目的探讨肝海绵状血管瘤的手术指征和方法.方法对35例肝脏血管瘤的手术结果进行回顾性分析.结果35例中,单发者27例,多发者8例;肿瘤直径＜5 cm者8例,5～15 cm者22例,＞15 cm者5例;肝右叶22例,左叶7例,左右两叶6例.术前经彩超、CT、MRI、DSA等检查.35例均行手术,无手术死亡,并发症率22.9%（8/35）.结论对于瘤体直径＜5 cm不伴有临床症状且排除恶性者只须定期复查;对于瘤体直径＞5 cm伴有临床症状者,肝部分切除术和血管瘤剥离术是首选治疗方法.其手术的关键是如何控制和处理出血.

Surgical treatment of hepatic cavernous hemangioma: an analysis of 35 cases

Objective To investigate the method and indication for surgical management of he patic cavernous hemangioma(HCH).Methods The clinical data of 35 patients with HCH surgically treated in our hospital were retrospectively analyzed.Results Of the 35 patients,27 had only on fo cus and the other 8 had 2 or more foci.The diameter of the tumor was less than 5 cm in 8 patients,5- 15cm in 22 and over 15 cm in 5.The HCH was located in the right lobe in 22 patients,in the left lobe in 7 and in both lobes in 6.All the 35 patients received CDFI,CT,MRI or DSA before the operation. There was no operative death and the rate of postoperative complications was 22.9%(8/35).Conclu- sions Regular examination is essential for the patients with HCH of less than 5 cm in diameter. However,partial hepatectomy and hepatic hemangioma decollement are safe and effective for the pa- tients with HCH over 5 cm in diameter,especially in those patients with symptoms.It is crucial to control hemorrhage during the operation.