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目的探讨肝脏血管瘤的手术指征和治疗方式的合理选择。方法回顾分析1996-2009年118例肝血管瘤的临床资料。结果 57例采用肝段或肝叶切除术,21例行血管瘤体摘除术,40例采用瘤体盐酸平阳霉素注射法。结论对血管瘤破裂出血?迅速增大或出现kasabach-Merritt的有绝对手术指征。瘤体直径>5 cm并有明显源于血管瘤的症状,有较重精神负担者也有外科治疗的相对指征。手术切除是确切的治疗方法,肝血管瘤摘除和瘤体盐酸平阳霉素注射法疗效安全肯定,有选择性应用的价值。
Objective To investigate the surgical indications and treatment of hepatic hemangiomas. Methods Retrospective analysis of 118 cases of hepatic hemangioma in 1996-2009 clinical data. Results 57 cases were treated by hepatic segmentectomy or lobectomy, 21 cases were treated by hemangiomas removal and 40 cases were treated by injection of pingyangmycin hydrochloride injection. Conclusions Hepatic aneurysm rupture bleeding? Rapid increase or kasabach-Merritt absolute surgical indications. Tumor diameter> 5 cm and obvious hemangioma-derived symptoms, those who have a heavier mental burden also have relative indications for surgical treatment. Surgical resection is the exact treatment, removal of hepatic hemangioma and tumor Pingyangmycin injection of safe and affirmative, selective application of value.