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介绍5例小儿罕见肝脏巨大肿瘤(2例错构瘤,2例恶性间叶瘤,1例血管内皮瘤)的临床特点,B 超、CT、选择性动脉造影的改变。提出术前术中诊断的注意点。术中根据肿瘤大小、部位以及与下腔静脉、肝静脉的关系选择恰当的术式。认为全肝血流阻断低温灌注对完成巨大的肝肿瘤切除是一种较好的方法。
To introduce the clinical features, ultrasonography, CT and selective arterial angiography of 5 cases of rare liver tumor in children (2 cases of hamartoma, 2 cases of malignant mesenchymal tumor and 1 case of vascular endothelioma). Preoperative diagnosis point of attention. Surgery based on tumor size, location and the relationship with the inferior vena cava and hepatic vein to select the appropriate surgical procedures. That the whole liver blood flow blocking hypothermic perfusion for the completion of a huge liver resection is a better method.