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目的 探讨多种外科方式治疗肝海绵状血管瘤(LHG)的适应证与手术经验。方法 对我院近10年来经手术切除、瘤体捆扎、肝动脉结扎或栓塞、微波固化术等不同方法治疗的LHG580例进行总结、分析,对手术指征,手术方式选择,术中防止大出血的方法及应急措施,术后辅助治疗等进行讨论。结果 全组术后1个月内死亡2例,占034%;其余均恢复顺利,近5年来已无手术死亡。结论 为提高手术安全性,获得满意疗效,治疗LHG应根据病变大小、部位、全身情况,选择不同的手术方法或联合方式进行综合治疗。
Objective To explore the indications and surgical experience of various surgical methods for the treatment of hepatic cavernous hemangiomas (LHG). Methods A total of 580 cases of LHG treated by different methods such as surgical resection, bundling of tumors, hepatic artery ligation or embolization, and microwave curing were summarized and analyzed in this hospital for the past 10 years. The indications for surgery, the choice of operation methods, and the prevention of major bleeding during operation were performed. Methods and emergency measures, postoperative adjuvant therapy, etc. are discussed. Results In the whole group, 2 cases died within 1 month after operation, accounting for 344%. The rest recovered smoothly. No surgical death occurred in the past 5 years. Conclusion In order to improve the safety of surgery and obtain satisfactory results, LHG should be treated with different surgical methods or combination methods according to the size, location and general condition of the lesion.