摘要
目的：探讨肝海绵状血管瘤诊断和鉴别诊断方法及外科治疗适应证。方法：对１９８５年～１９９５年我科经手术及病理证实的肝海绵状血管瘤５０例进行分析。所有患者均有右上腹部疼痛。术前检查：Ｂ超５０例、ＣＴ４例、肝动脉造影１２例，均诊断为“肝血管瘤”。术中在Ｂ超引导下行“血管瘤”切除：其中１０例行肝一段切除、３２例肝两段切除、４例肝不规则切除、４例扩大左半肝切除，切除血管瘤Φ＝４ｃｍ～２０ｃｍ，平均８８ｃｍ。结果：术后无并发症及死亡。随访１ａ～５ａ，腹痛症状均缓解或消失，且瘤体无复发。结论：Ｂ超是诊断肝海绵状血管瘤简单、可靠的首选方法；临床症状阳性及瘤体Φ＞５ｃｍ是外科治疗的主要指征，又是根治肝海绵状血管瘤安全有效的方法。
Objective:To discuss the methods of differential diagnosis and indication of surgical treatment of hepatic cavernous hemangiomas.Methods:Data of 50 cases with hepatic cavernous hemangioma from 1985 to 1995 were collected analysed.There were 14 men and 36 women with an averages age of 42 3 years(28 to 64 years)varying.All of them had moderate to severe pain on right upper quadron of abdomen.Tumors were visualized by ultrasonography in 50 cases,by CT in 4 and by angiography in 12.All of them were diagnosed to have benign hemangioma.The resection was feasible in each patient:10 segmentectomies,32 bisegmentectomies,4 wedge,4 extra left hepatic lobectoectomies.Tumor size lesions varied from 4 to 20 centimeters in diameter(average 8 8 cm).Results:There were no surgical deaths and complications.Symptoms were relieved or disappeared in all patients in the follow up for 1 5 years.Conclusion:B mode ultrasonography were the first choice of safe diagnose measure.If the tumor size exceeds 5 cm in diameter and the patient has some symptoms,surgical treatment is the safe radical curative procedure.
出处
《中日友好医院学报》
1997年第3期241-244,共4页
Journal of China-Japan Friendship Hospital
关键词
肝脏肿瘤
血管瘤
海绵状
肝切除术
hepatic
hemangioma,cavernous
hepatectomy,partial
