肝脏海绵状血管瘤的双重供血及外科处理

Dual Blood Supply and Surgical Management of Cavernous Hemangiomas of the Liver

１３年来，住院治疗的６８例成人肝脏海绵状血管瘤病人，男３１例，女３７例，年龄３６－６７，平均４３岁。肿瘤直径３．５－２９ｃｍ。手术包括单纯肿瘤切除，肝脏楔脉造影显示：肝脏海绵状血管瘤系肝动脉和门静脉双重供血。肝动脉栓塞，硬化疗法和结扎的适应证：有症状的大海绵状血管，手术切除困难或有较大的手术危险性者。

Over the past thirteen years,68 adults (37 females and 31males)with cavernous hemangiomas of the liver(CHL)mearing 3. 5-29cm in diameter were treated. The ages of the patients ranged from 36 to 67 years and were 43 years in average. Surgical procedures including simple excision, wedge resection, lobectomy, hepatic arterial embolization with TH glue and sclerotherapy using 99. 8% alcohol, were performed. There was one surgical death due to TH glue heterotopic embolization. Angiography through the branches of the hepatic artery and portal vein showed that CHL were supplied by dual blood origin,the hepatic artery and the portal vein. Hepatic artery ligation,embolization and sclerotherapy are indicated in case of giant cavernous hemangiomas with symptomand when excision is difficult or likely to impose significant operative risk.