中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (09): 756-758.

• 论著 • 上一篇    下一篇

肝海绵状血管瘤172例分析

傅晓辉，储开建，陆崇德，姚晓平，吴孟超   

  1. 第二军医大学附属东方肝胆外科医院肿瘤综合治疗科，上海200438
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-09-01 发布日期:2009-09-01

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-09-01 Published:2009-09-01

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摘要：

目的 探讨肝海绵状血管瘤施行手术的可行性。方法 回顾性分析2004-2006年第二军医大学附属东方肝胆外科医院手术治疗172例肝海绵状血管瘤的病例资料。其中有128例累及肝门，对临床表现，手术情况，术后恢复等情况进行归纳分析。结果 累及肝门的肝血管瘤的术中出血量，阻断的累计时间和术后胸水发生率均高于远离肝门的血管瘤病人，但术后其他并发症和术后恢复情况和对照组差异无统计学意义。结论 累及肝门的肝血管瘤手术是安全和有效的。对于具备手术指征的病人应当及时施行手术，手术应遵循肝外科的手术特点，并由有经验的专科医师施行。

关键词: 肝切除, 肝海绵状血管瘤, 肝门

Abstract:

Hepatic cavernous hemangioma：an analysis of 172 cases FU Xiao-hui, CHU Kai-jian, LU Chong-de, et al. Department of Comprehensive Therapy of Tumor, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200438, China Corresponding author:YAO Xiao-ping, E-mail: yaoxiaopingehbh@163.com Abstract Objective To explore the feasibility of operation on hepatic cavernous hemangioma. Methods The clinical data of 172 patients with hepatic cavernous hemangioma performed from 2004 to 2006 at Eastern Hepatobiliary Surgery Hospital of Second Military Medical University were analyzed retrospectively. Among them, 128 patients with hemangioma involved porta hepatis. Clinical manifestation, operation and postoperative recovery were analyzed. Results Enucleation of hemangioma involving porta hepatis had more intraoperative bleeding, longer time of inflow exclusion, and higher incidence of postoperative pleural fluid, while no significant difference exists in the complication of operation and postoperative recovery. Conclusion Surgery of hemangioma involving porta hepatis is safe and effective. For patients with symptoms or young patients with rapidly enlarging mass, the enucleation of the tumor is needed and feasible. It should be carried out strictly in accordance with the rules of the liver surgery and the characteristics of the hemangioma so as to ensure the safety of the operation.

Key words: enucleation, hepatic cavernous hemangioma, porta hepatis