肝海绵状血管瘤病理属性及治疗

The pathological category and the treatment of hepatic cavernous hemangiomas

为了让外科、介入放射科和其它微创治疗科室医师对肝海绵状血管瘤（CHL）属性和治疗适应证有一共识,密切协作制定出最佳CHL治疗策略,本文通过文献回顾阐述和讨论了CHL属性、与血流动力学相关临床分型和治疗适应证等,对外科手术切除、经导管动脉硬化栓塞、经皮穿刺瘤灶注入平阳霉素和超声或CT导引下射频消融或微波消融等治疗方法作了分析比较,并提出-CHL个性化治疗建议方案,以供进一步商讨。

In order to make surgeons, interventional radiologists and other physicians who are engaged in minimally-invasive treatment to have a common understanding of the clinical classification and the treatment indications of hepatic cavernous hemangiomas, so as they can work together to formulate the best treatment strategy for hepatic cavernous hemangiomas, this paper, on the basis of a comprehensive literature review, will discuss the characteristics, hemodynamics-related clinical classification and treatment indications of hepatic cavernous hemangiomas and will also compare the advantages and disadvantages of different therapies, including surgical resection, transcatheter arterial chemoembolization, percutaneous puncturing of tumor together with injection of Pingyangmycin, ultrasound-guided or CT-guided percutaneous radiofrequeney ablation or microwave ablation, etc. The individualized treatment plan for hepatic cavernous hemangiomas is also proposed for further discussion.