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目的 探讨肝脏海绵状血管瘤的手术指征和手术方式。方法 回顾性分析手术治疗114例肝脏海绵状血管瘤病人临床资料。结果 79例采用血管瘤剜除术 (其中 1例合并有Kasabach -Merritt综合症 ) ,2 9例肝叶或肝段切除术 ,5例多发性血管瘤行联合肝段切除术、血管瘤剥离和缝扎术 ,1例采用酒精注射法。结论 对肝脏海绵状血管瘤直径 >6cm并有明显临床症状或患者精神负担较重 ,或合并需手术的其他上腹部外科疾病者选择手术切除 ;直径≥ 10cm随访中有增大或术前与AFP阴性的肝癌鉴别困难者应择期手术
Objective To investigate the surgical indications and surgical methods of cavernous hemangioma in the liver. Methods The clinical data of 114 patients with cavernous hemangioma of liver treated by surgery were retrospectively analyzed. Results 79 cases were treated with hemangiomas (1 case with Kasabach-Merritt syndrome), 29 cases with hepatic lobectomy or hepatic segmentectomy, 5 cases with multiple hemangiomas combined with liver resection, hemangioma dissection and Suture surgery, 1 case of alcohol injection. Conclusions Surgical resection of hepatic cavernous hemangioma with diameter> 6cm and obvious clinical symptoms or patients with heavy mental burden or other upper abdominal surgical diseases requiring surgery should be selected. There is an increase in follow-up of ≥10cm in diameter or preoperatively with AFP Negative identification of patients with liver cancer should be elective surgery