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目的 探讨肝血管瘤手术适应证和手术方法。方法 回顾性分析 9例肝血管瘤病人手术治疗的临床资料。结果 本组共 9例。其中 2例为不能排除肝癌 ,1例瘤体生长过快 ,1例肿瘤体积大且位置位于肝表面 ,其余 5例均因有不同程度的不适而要求手术。手术方法 :右半肝切除 4例 ,第 6段切除 1例 ,第 6、7段切除 1例 ,不规则切除 3例。手术视野充分暴露、肝门阻断、预先选择性结扎进入瘤体的肝动脉 ,指断法切除或应用彭氏多功能手术器 ,全部手术顺利。结论 肝血管瘤在不能排除肝癌 ,瘤体生长过快 ,肿瘤体积大且位置位于肝表面 ,有破裂可能且伴有不同程度的不适的应积极手术 ,手术行肝血管瘤切除较安全 ,手术成功的关键是控制出血
Objective To investigate the surgical indications and surgical methods of hepatic hemangiomas. Methods Retrospective analysis of 9 cases of hepatic hemangioma surgery patients with clinical data. Results This group a total of 9 cases. Among them, 2 cases could not rule out liver cancer, 1 case had fast growth, 1 case had large tumor size and located on the surface of liver, and the other 5 cases required surgery because of different degrees of discomfort. Surgical methods: 4 cases of right hepatectomy, 6 cases of resection in 1 case, 6,7,7 cases of resection in 1 case, irregular resection in 3 cases. The surgical field of vision is fully exposed, and the hepatic portal is blocked. The pre-selective ligation into the hepatic artery of the tumor refers to the removal or application of Pang’s multi-function surgical instruments, all of which are successful. Conclusion Hepatic hemangiomas should not be excluded from the liver cancer, tumor growth too fast, the tumor size is large and the location is located on the liver surface, rupture may be associated with varying degrees of discomfort should be active surgery, surgical resection of hepatic hemangioma safer, successful surgery The key is to control bleeding