包膜外剥脱术治疗肝血管瘤临床研究

Study of Stripping Out of Peplos on Liver Hemangiomas

目的探讨肝血管瘤手术指征和手术方式的合理选择。方法回顾性分析应用包膜外剥脱术治疗肝血管瘤43例患者的临床资料。结果43例肝血管瘤均为海绵状血管瘤,且均有包膜,43例患者手术顺利,需输血者4例(9.3%),无死亡及重大并发症发生,仅有1例发生膈下脓肿(2.3%)。结论肝血管瘤包膜外剥脱术肝损伤轻,出血少,复发机会少;患者恢复快,近、远期疗效好;肝血管瘤包膜外剥脱术是手术治疗肝血管瘤的首选术式。

Objective To study the operative indication and the choices of operation of liver hemangiomas. Methods Retrospectively analyze the clinical data of 43 cases with stripping of liver hemangiomas out of peplos. Results The 43 cases are all cavernous hemangiomas and have peplos. The operations are all smooth, 4 （9.3 % ） of the patients need blood transfusion and no death or severe complication. Only one （2.3%） patient had subphrenic abscess. Conclusion Stripping of liver hemangiomas out of peplos have less damage to liver, less blood loss and less recidivation. The patients recovered smoothly, and curative effect is good in the long or short term. This is the first choise for the hemangiomas of liver.