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目的 通过 8例体表巨大血管瘤的手术治疗 ,阐明血管瘤选用手术切除是一种根治性有效方法。方法 术前瘤体血管造影 ,了解瘤体病变范围。手术首先行血管瘤主要供血血管栓塞 ,防止术中大出血 ,再行瘤体周围环形缝扎可减少出血。术中可加用肿胀麻醉技术进一步减少术中出血。8例体表血管瘤范围为 2 7.3 cm×6 .0 cm～ 31.2 cm× 9.1cm ,手术一期均彻底切除。结果 术后随访时间 8个月～ 4年 ,平均 13个月 ,血管病均无复发。结论 血管造影是制订手术方案的重要依据 ;介入栓塞技术可减少血管瘤主要供血血管出血 ;瘤体周围环形缝扎及肿胀麻醉技术可进一步减少术中出血 ,提高了手术安全系数 ,有临床推广价值。
Objective Through 8 cases of surface giant hemangioma surgically treated, clarify the selection of hemangiomas surgery is a radical and effective method. Methods Preoperative tumor angiography to understand the extent of tumor lesions. The first major vascular angioplasty blood vessels embolization surgery to prevent intraoperative bleeding, and then around the tumor ring suture can reduce bleeding. Intraoperative swelling and anesthesia can be used to further reduce intraoperative bleeding. 8 cases of body surface hemangiomas range of 2 7.3 cm × 6 .0 cm ~ 31.2 cm × 9.1cm, a surgical resection were completely removed. Results The follow-up time ranged from 8 months to 4 years, with an average of 13 months. There was no recurrence of vascular disease. Conclusions Angiography is an important basis for the development of surgical plans. Interventional embolization can reduce the main blood supply of hemangiomas. Circumferential sutures and tumescent anesthesia around the tumor can further reduce the intraoperative bleeding, improve the safety factor of surgery, and have clinical value of popularization .