49例肝海绵状血管瘤缝扎治疗

SUTURING THERAPY FOR 49 LIVER HEMANGIOMAS

目的:观察缝扎法治疗肝海绵状血管瘤的临床疗效。方法:对49例肝血管瘤患者进行缝扎治疗,缝扎针自行设计,于瘤体与肝组织之间的界线(限)进针,针距1.5～2.5cm 行贯穿"8"字缝扎。结果:随诊38例患者6月至6年,2例半年至一年复查肿瘤消失,1例14个月复查瘤体中心出现液化坏死;1例24月复查瘤体大小无变化,其余各例瘤体均有不同程度缩小,平均缩小率为47.1%。结论:经与同期血管瘤功除病例结果对比;血管瘤缝扎治疗,术中出血少,对肝组织损伤小,手术时间短,并发症低,为血管瘤治疗的良好方法。

Objective:To investigate the clinical effect of suturing treatment on liver hemangioma. Method:suturing was performed in 49 liver hemangiomas.The needles which were desigmed by our de- partment were first punctured in the plane between the capsule of the hemangioma and the surrounding liver tissues.The distance between each two puncture points was 1.5-2.5cm.The suturing shape is in '8' form.Results:Thirtyeight patients were followed Up from 6 months to 6 years.Two hemangiomas were disappeared in 6-12months after operation by ultrasonography,thirtyfour hemangiomas were shrinked in varying degrees,with average shrinking degn-ee of 47.1%,one remained unchanged in 2 years after suturing and one's center was found liquefied 14 months postoperatively.Conclusion:Suture operation to manage liver hemangioma has the advantages of small amount of bleeding,short operation time,minor hepatic injury and less complications comparing with hemangioma resection.Suturing is a simple,safe and useful method for management for hemangioma.