160例肝血管瘤临床治疗分析  

Hepatic hemangioma: result of different clinical management

作　　者：解世亮[1] 邵永孚[1] 余宏迢[1] 

机构地区：[1]中国医学科学院协和医科大学肿瘤医院腹外科,北京100021

出　　处：《中华普通外科杂志》2002年第12期723-724,共2页Chinese Journal of General Surgery

摘　　要：目的探讨肝血管瘤的临床表现和治疗及预后。方法回顾分析 1 990～ 2 0 0 1年中国医学科学院肿瘤医院 1 60例肝血管瘤的临床治疗。 66例行肝部分切除 ,30例行肝血管瘤缝扎术 ,37例肝动脉栓塞 ,2 7例肝血管瘤放射治疗 ,随访 6个月至 3年。结果 66例肝血管瘤切除组 3年内复发率 4 % ,30例肝血管瘤缝扎组 3年内复发率 40 % ,37例肝动脉栓塞 3年内肿瘤增大占 67% ,2 7例肝血管瘤放射治疗效果不明显。结论肝部分切除是治疗单一较大肝血管瘤最有效的方法。ObjectiveTo study the clinical features, treatment and prognosis of hepatic hemangioma. MethodsClinical treatment of 160 cases of hemangioma was analyzed retrospectively, including partial hepatectomy in 66 cases, suture ligation in 30 cases, hepatic embolization performed in 37 cases, radiotherapy in 27 cases. Follow up was made from six months to 3 years. ResultsPartial hepatectomy has a recurernce rate of 4% in 3 years . Suture ligation was found with recurernce rate of 40% for 3 years. Hepatic artery embolization failed to hamper the growth of hemangiomas in 67% of the 37 cases. ConclusionPartial hepatectomy is the treatment of choice for patients suffering from a single huge hemangioma.

关 键 词：肝血管瘤 治疗 肝切除术 治疗性化学栓塞 

分 类 号：R735.7[医药卫生—肿瘤]