肝脏巨大海绵状血管瘤的外科治疗

Comprehensive surgical treatment for giant cavernous hemangioma of the liver

目的:探讨肝脏巨大海绵状血管瘤(cavernous haemangioma of liver,CHL)的外科治疗适应证并总结治疗经验。方法:对15例特大CHL患者的临床资料进行回顾性分析。结果:9例患者接受血管瘤剥离术治疗,术后恢复顺利;6例患者行肝动脉栓塞治疗,其中2例患者接受了择期根治性切除手术。结论:巨大CHL可能引起严重的临床症状,可以结合肝功能分级和全身情况选择包括剥离术、肝动脉栓塞在内的综合性方法。

Objective To investigate the surgical indication and effect of surgical treatment for giant cavernous hemangioma of the liver （LHG）. Methods The clinical data, including selection of operations, management for severe operative bleeding and postoperative supplementary treatment, of 15 patients with giant LHG treated by surgical measures from 2003 in our hospital were summa- rized and assessed. Results： Nine cases accepted decollement of LHG, and the recovery courses were all right, 6 cases accepted embolization of hepatic artery, in which 2 cases accepted operation afterward. Conclusions： Decollement or embolization of hepatic artery were effective in the treatment of giant cavernous hemangioma.