肝海绵状血管瘤的诊断与治疗  

Diagnosis and treatment of cavernous hemangioma of the liver

作　　者：关爱华[1] 阎光志 金志巍[2] 丁道亮 丁世娟 金炎[2] 

机构地区：[1]吉林大学第二医院普外科,吉林长春130041 [2]吉林省肿瘤医院 [3]集安市医院

出　　处：《吉林大学学报（医学版）》2002年第2期189-191,共3页Journal of Jilin University：Medicine Edition

摘　　要：目的 :总结肝海绵状血管瘤诊断与治疗经验。方法 :回顾分析 84例肝海绵状血管瘤诊断与治疗情况。结果 :84例中 ,76例行 CT检查 ,73例诊断为 CHL ,准确率 96.1 % ;33例行 MRI检查 ,32例诊断为 CHL ,准确率 96.9% ;84例行 B型超声检查 ,82例诊断为 CHL,准确率 97.6% ;2 3例行 ECT检查 ,全部都诊断为 CHL,准确率 1 0 0 %。68例行血管瘤切除术 ,瘤体捆扎术 1 2例 ,血管瘤切除加捆扎术 3例 ,肝固有动脉结扎术 1例。 84例患者术后均随诊 1～ 5年 ,定期复查 B型超声、CT结果显示血管瘤切除术组 ,无病灶复发 ;血管瘤捆扎术组 ,瘤体均不同程度缩小 ;血管瘤切除加捆扎术组 ,术后残留瘤体机化。结论 :ECT、MRI、B型超声以及 CT检查均有特征性表现 ,是术前诊断肝海绵状血管瘤的准确检查方法。该病首选手术治疗 ,常规术式有血管瘤切除术及瘤体捆扎术 ,疗效较佳。前者切除肿瘤彻底 ,后者操作简单、安全。Objective: To summarize the experience in diagnosis and treatment of cavernous hemangioma of the liver (CHL). Methods: Review and analyze the diagnosis and treatment of eighty four patients with CHL. Results: Seventy three patients among seventy six patients examined by CT was confirmed to diagnose to CHL; thirty two cases in thirty three patients examined by MRI was diagnosed to CHL. Eighty two cases of eighty four patients examined by B model ultrasonic was diagnosed to CHL; and all twenty three patients with CHL examined by ECT was confirmed. Diagnosed rate was 96 1%, 96 9%, 97 6% and 100% in the patients with CHL, respectively, by CT, MRI, B model ultrasonic and ECT All eighty four patients were treated with surgical operation. CHL resection (CHLR) was performed in sixty eight cases, and binding surgery (BS) was in twelve cases. Resection surgery, including both CHLR and BS was done in three patients. Only one patient was cured by tied operation of hepatic proper artery. All eighty four cases were followed up for 1 to 5 years after operation; no any recurent case with CHL was found from CHLR group of patients; tumor size measured by B model ultrasonic and CT was decreased in various degree in BS group of patients; remaining tumor had been organized in CHLR plus BS group. Conclusion: ECT, MRI, B model ultrasonic and CT are exact examing techniques to diagnose to CHL before operation as these examinations show characteristic features. Both CHLR and BS can be used in surgical treatment of CHL. The former, however,is a chief appoach and can eradicate the tumor thoroughly and the latter is simple,safe and effective. The both operation patterns may be were combined according to individual case duringthe operation.

关 键 词：肝海绵状血管瘤 诊断 治疗 手术疗法 

分 类 号：R735.7[医药卫生—肿瘤]