摘要
目的 总结手术、肝动脉栓塞及硬化剂注射等方法治疗肝血管瘤的效果 ,为临床选择合理的肝血管瘤治疗模式提供参考。方法 回顾性分析我院近 10年所收治的 47例 ( 5 8个肝血管瘤 )病人的临床资料 ,总结治疗经验和体会。结果 其中 ,肝切除术 2 4例 ,血管瘤剜出术 16例 ,无死亡及重大并发症发生 ,仅有右侧胸腔积液和膈下积液各 1例 ( 2 / 40 )。 7例病人行介入下肝动脉栓塞治疗 ,治疗后病变大都明显缩小 ,无死亡及并发症发生。结论 手术治疗是一种安全有效的手段 ,对于弥散分布或部位特殊的病变可选择肝动脉栓塞 ,超声引导下硬化剂注射疗效不肯定。
Objective To summrize the effects of various treatment methods,including operation,transcatheter arterial embolization(TAE),and percutaneous ethanol injection(PEI) on hepatic cavernous hemangioma(HCH),in order to select an optimal therapy strategy for HCH.MethodsClinic data of 47 patients with 58 hepatic hemangiomas treated in our hospital in recent 10 years were analyzed retrospectively.Results There were 26 males and 21 females with mean age 42±2 5 years(10～72 years old)in this series.The diameters of these lesions were 3～21 5cm(mean diameter 8 5±1 8cm).Of them,obvious symptoms appeared in 39 patients,malignancy could not excluded in 6,and the size of HCH increased rapidly in 2.Operations were performed in 40 patients,including 2 patients failed to PEI;TAE was conducted in 7cases.There was no mortality or major morbidity occurred in the operative patients,except right pleual effusion in one case and subdiaphragmatic fluid collections in another case(2/40).Neither is mortality nor morbidity seen in the TAE treated case.Conclusions Operation is an effective procedure for HCH.But for more diffuse lesions or lesions located in special region,TAE is a more favorable alterative selection.Because PEI has risk of hemorrhage and hardener injection under ultrasonography guide has uncertain outcome,so it should be chosen cautiously.
出处
《中国医师杂志》
CAS
2003年第3期347-348,共2页
Journal of Chinese Physician
关键词
手术治疗
肝动脉栓塞
硬化剂
肝血管瘤
Hemangioma,Liver
Operation treatment
Liver arterial
Embolization
Hardener
