应用剥离术治疗肝海绵状血管瘤22例体会  

Treatment of 22 cases of liver cavernous hemangioma with stripping operation.

作　　者：陈国泰[1] 叶维基[1] 李绍强[1] 

机构地区：[1]中山医科大学附属第一医院肝胆外科

出　　处：《中国实用外科杂志》1999年第4期228-229,共2页Chinese Journal of Practical Surgery

摘　　要：目的介绍一种治疗肝海绵状血管瘤的方法，并探讨该方法的优缺点。方法对８年中采用剥离术治疗肝海绵状血管瘤２２例进行分析。结果全组病例恢复良好，无一例出现术后并发症，经随访３个月至３年，情况良好，未见复发。结论（１）该方法手术创伤小，不必切除正常肝组织。（２）术中输血少，大部分病人不用输血。（３）对于一些位于解剖困难部位的肿瘤，应用该方法可安全切除。（４）此方法疗效确切。（５）瘤体较小，深在肝实质内的肝海绵状血管瘤不宜采用该方法治疗。Objective To investigate the benefit of stripping operation for treatment of liver cavernous hemangioma.Methods The clinical data of 22 cases of liver cavernous hemangioma which underwent stripping operation in recent eight years were analysed retrospectively.Results All the patients were cured without any postoperative complication.During the period of follow up ranging from 3 months to 3 years,all the patients'status maintained well and no recurrence occurred.Conclusion The benefits of stripping opreation include:first,there are less injuries,and more preservations of normal liver tissue;second,intraoperative blood transfusion reduces accordingly.Most patients need no blood transfusion;and third,it is safe to resect the tumor which locates at difficult anatomic site with this kind of operation.Most of all,the therapeutic effect is good for treatment of liver cavernous hemangioma except for the small one which locates in profound liver parenchyma.

关 键 词：外科手术 肝肿瘤 海绵状血管瘤 剥离术 

分 类 号：R735.705[医药卫生—肿瘤] R730.56[医药卫生—临床医学]