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目的 通过 45例巨型血管瘤的手术治疗 ,阐明血管瘤选用手术切除是一种带有根治性的有效治疗方法。方法 ①术前放射数字减影 (DSA)检查 ,可明确诊断 ,了解病变范围 ,有利于手术设计等。②术中具体操作宜采用“假包膜剥离法”。③应用整复手术进行创面修复。结果 45例手术 ,一期治愈 2 7例 ,二期治愈 1 3例 ,治愈率达 89%。术后随访时间最长已达 8年 ,无复发 ,疗效好。结论 术前DSA检查结果是制定手术方案的重要依据。手术效果主要取决于术中能否沿着瘤体周围的“假包膜”完整剥离 ,实践证实 ,只有以“假包膜”为界完全剥离才能做到彻底切除瘤体 ,减少复发 ,达到根治目的 ,有临床推广应用价值
Objective Through 45 surgical treatment of giant hemangiomas, clarification of surgical removal of hemangiomas is an effective treatment with radical treatment. Method 1 Preoperative radiological digital subtraction (DSA) examination can confirm the diagnosis, understand the extent of the lesion, and facilitate the surgical design. 2 Intraoperative specific operations should use “pseudo-capsule stripping method.” 3 The application of a comprehensive surgery for wound repair. Results In 45 cases, 27 cases were cured in the first stage and 13 cases were cured in the second stage. The cure rate was 89%. The longest follow-up period has reached 8 years, no recurrence, and good curative effect. Conclusion The result of preoperative DSA examination is an important basis for making surgical plans. The effect of the operation depends on whether or not the surgery can be completely peeled off along the “pseudocapsule” surrounding the tumor. Practice has confirmed that only complete removal of the “pseudocapsule” as a circle can completely remove the tumor and reduce the recurrence. Purpose, have clinical application value