论文部分内容阅读
我院１０年来诊治肝血管右１００例，其中单个８２例，多个１８例，共１２６个血管瘤，分布于左半肝４３个，右半肝７８个，左、右半肝５个。其直径最小１ｃｍ，最大３０ｃｍ。诊断主要靠Ｂ型超声。行各种肝切除及血管瘤切除８８例，瘤内无水酒精注射７例，因邻接大血管或与膈肌、腹壁有大量交通支未切除５例，其中１例术中大出血于术后死亡。病检８１例为海绵状血管瘤。随诊４０例，疗效优良２８例，有瘤残留１１例，未切除者瘤长大１例。作者认为单个小血管瘤应与小肝癌鉴别，发现海绵状血管瘤的血供不单来源于肝动脉、巨大血管瘤的最佳术式是肝门区域血管阻断下切除血管瘤，以尽量减少术中肝组织缺血和多保留肝组织。
In our hospital for the past 10 years, we have diagnosed and treated the right 100 cases of hepatic vessels, including 82 cases in a single case and 18 cases in a total of 126 cases. There were a total of 126 hemangiomas distributed in the left hemi-hip 43 cases, the right hemi-history 78 pieces, and the left and right hemi-hig 5 pieces. Its diameter is 1cm minimum and 30cm maximum. Diagnosis depends mainly on B-mode ultrasound. All kinds of hepatectomy and hemangioma resection in 88 cases, intratumoral absolute alcohol injection in 7 cases, because of adjoining large vessels or diaphragm and abdomen with a large number of traffic branches without resection in 5 cases, including one case of intraoperative bleeding died after surgery. 81 cases were cavernous hemangiomas. Follow-up 40 cases, excellent efficacy in 28 cases, 11 cases of residual tumors, unresected tumor grew up in 1 case. The author believes that a single small hemangiomas should be differentiated from small hepatocellular carcinoma and found that the best blood supply for cavernous hemangiomas not only from the hepatic artery but also from the hemangiomas is the removal of hemangiomas under hilar artery occlusion to minimize Liver tissue ischemic and more reserved liver tissue.