摘要
目的 探讨肝血管瘤的诊断和治疗方法。方法 回顾分析近 5年收治的 5 0例肝血管瘤的临床资料。结果 全组诊断率为 96.0 %。术前B超、增强CT及MRI诊断符合率分别为 90 % ( 4 5 /5 0 )、97.6% ( 4 0 /4 1)和 10 0 % ( 5 /5 )。 7例最大瘤径小于 4cm且无症状的病例 ,明确诊断后出院定期复查 ;对最大瘤径大于 4cm ,有症状和瘤径虽小但诊断可疑的 43例患者 ,1例行腹腔镜肝血管瘤切除术 ,3例行肝动脉介入栓塞治疗 ,3 9例行手术治疗。手术并发症率为 10 .3 % ( 4 /3 9)。无手术死亡。结论 B超、增强CT、MRI是诊断肝血管瘤的重要方法。对最大瘤径大于 4cm ,有症状 ,或瘤径虽小但生长较快 ,或合并其他疾病的患者 ,手术治疗是安全、有效的方法。
Objective To study the diagnosis and treatment of hepatic hemangioma. Methods (Retrospective) analysis was made on the clinical data of 50 patients with hepatic hemangioma in our hospital from January 1998 to January 2003. Results The accuracy diagnotic rate of ultrasound, CT, MRI were 90%(45/50), 97.6%(40/41), 100%(5/5) respectively.The correct diagnostic rate was 96.0% in this series. The operative indications were symptomatic hemangioma, diameter of tumor larger than 4.0 cm, or tumor with uncertain diagnosis. The operations performed were as follows:Laparoscopic(enucleation) of hemangioma in one cases. 3 patients treated by transcatheter arterial embolization, and(thirty-nine) patients underwent surgical(excision).No death occurred in this series. Four(10.3%, 4/39) had postoperative complications. (Conclusions) Hepatic hemangioma can usually be correctly diagnosed.Ultrasound, CT and MRI are the main(diagnostic) methods for the diagnosis of hepatic hemangioma.For patients with hepatic hemangioma that is(symptomatic), increasing in size,or of uncertain diagnosis, surgical treatment is safe and effective. Laparoscopic(enucleation) of hemangioma can be performed in selected cases.
出处
《中国普通外科杂志》
CAS
CSCD
2004年第8期609-611,共3页
China Journal of General Surgery
关键词
肝肿瘤
血管瘤/治疗
LIVER NEOPLASMS
HEMANGIOMA/ther
