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目的探讨肌间血管瘤的手术方法和临床疗效。方法对7例肌间血管瘤患者,术前行CT、CT血管造影、MRI检查确定血管瘤侵及范围及血供特点,其中3例行手术前介入血管栓塞,1例行颈外动脉临时阻断。结果本组7例患者的疼痛、肿胀症状明显好转,肢体和躯干功能恢复良好。6例经Ⅰ期完整切除后无复发,1例切除后复发经Ⅱ期手术切除。结论早期手术彻底切除瘤体,防止病情快速进展是治疗肌间血管瘤的最有效方法,围手术期对手术难度和并发症要有充分准备;对于瘤体巨大或邻近重要器官的患者,可术前行介入治疗或术中阻断主要供血动脉以控制术中致死性出血的发生。
Objective To investigate the surgical methods and clinical effects of intramuscular hemangiomas. Methods 7 cases of interosseous hemangiomas were examined with CT, CT angiography and MRI before operation to determine the extent of hemangiomas invaded and the characteristics of blood supply. Among them, 3 cases had preoperative arterial embolization and 1 case had temporary external carotid artery obstruction Off. Results The pain and swelling symptoms of 7 patients in this group were significantly improved, and the body and trunk function recovered well. No recurrence was found in 6 cases after complete resection of stage Ⅰ. One case was resected and was resected by stage Ⅱ operation. Conclusion The early surgery to completely remove the tumor and prevent rapid progression of the disease is the most effective method of treatment of intramural hemangiomas, perioperative surgical difficulty and complications should be fully prepared; for large tumor or adjacent to vital organs in patients with surgery Pre-intervention or intraoperative blocking the main feeding artery to control the occurrence of intraoperative fatal bleeding.