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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。
Objective To investigate the clinical manifestations, treatment and prognosis of hepatic hemangiomas. Methods The clinical data of 160 hemangiomas in the Tumor Hospital of Chinese Academy of Medical Sciences from 1990 to 2001 were retrospectively analyzed. Sixty-six patients underwent partial hepatectomy, 30 patients underwent hepatic hemangiomas suture, 37 patients with hepatic artery embolism and 27 patients with hepatic hemangiomas who were followed up for 6 months to 3 years. Results The recurrence rate of 66 cases of hepatic hemangiomas was 4% within 3 years, 30 cases of hepatic hemangiomas were 40% within 3 years, 37 cases of hepatic arterial embolism increased 67% within 3 years, 27 cases of hepatic hemangiomas Radiation therapy effect is not obvious. Conclusions Partial hepatectomy is the most effective treatment for a single larger hepatic hemangioma.