肝海绵状血管瘤的诊断与治疗(附84例报告)

Diagnoisis and treatment of hepatic cavernous hemangioma: a report of 84 cases

目的 总结肝海绵状血管瘤的诊断与治疗经验。方法 1990～ 1995年 12月我科共收治经手术证实的肝海绵状血管瘤 84例 ,肿瘤平均直径 9 8cm ,最大直径约 40cm ,其中位于Ⅷ段或累及Ⅷ段 12例 ,位于尾状叶或累及尾状叶 4例。术前有 4例在外院接受肝动脉栓塞或化疗栓塞治疗。结果 术前确诊率为 95 2 % ,手术切除率 98 8% ,无手术死亡及严重并发症。结论 手术是治疗肝海绵状血管瘤最有效的治疗手段 ,栓塞治疗存在较大危险。

Objective To study diagnosis and treatment of hepatic cavernous hemangioma. Methods Altogether 84 cases of cavernous hemangioma of liver confirmed by surgical operation were treated in our department from 1990 to Dec. of 1995. The average diameter of these hemangiomas was 9.8 cm with the maximal one 40 cm . In twelve cases it located at or involved section VIII, and in 4 cases at or involved the caudate lobe. Before operation, 4 cases had received TAE or TACE in other hospitals. Results The diagnositic rate was 95.2% and the surgical operation rate was 98.8%. There was neither death due to operation nor to severe complications. Conclusions Operation is the most effective method of treatment for hepatic cavernous hemangioma. TAE or TACE method is dangerous.