肝血管瘤的治疗与随访观察

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1、中英文缩略词对照表英文缩写英文全名中文译名DSADigitalsubtractionangiography数字减影血管造彫HHHepatichemangioma肝血管瘤LHLidocaineHydrochloride利多卡因L.HLaparoscopichepatectomy腹腔镜肝切除术MISMinimallyinvasivesurgery微创外科PYMPingyiongmycin平阳霉素TAETranscatheterArterialEmbolization肝动脉栓塞术摘要1ABSTRACT2前言3资料与方法41临床资料4

2、2诊断4结果7讨论8小结15致谢16参考文献17综述20附录：肝血管瘤手术组图29攻读硕士学位期间发表的学位论文32导师评阅表33肝血管瘤的治疗与随访观察研究生：艾尼娃•克然木导师：赵晋明教授目的：比较肝血管瘤手术治疗和随访观察的结果。方法：随访2003年1月至2013年1月在新疆医科大学第一附属医院就诊的肝血管瘤病例90例，其中50例随访观察病例为观察组，40例手术治疗病例为手术组。观察组统计在随访观察过程中有无肿瘤相关症状出现，肿瘤人小变化。手术组统计手术方式，手术并发症，术后与手术有关相关不适等。结果：两组的预后对比有统

3、计学差异(P<0.01)o手术治疗因手术并发症及术后产生局部不适症状多，其安全性不如随访观察。结论：无症状性肝血管瘤应随访观察。较大肝血管瘤伴有明显症状、行手术切除。关键词：肝血管瘤；手术治疗；随访观察TheTreatmentandfollow-upobservationofasymptomatichepatichemangiomaPostgraduate：AnwarKeramSupervisor：Prof.ZhaoJinmingAbstractObjective：Comparetheprognosisofhepatichem

4、angiomaforsurgicaltreatmentandfollow-upobservations.Methods:Follow-updonebetweenJanuary2003toJanuary2013inthefirstaffiliatedhospitalofxinjiangmedicaluniversity.Total90casesofhepatichemangiomawerestudiedandthepatientsweredividedintotwogroups.Grouponetherewere50casesf

5、ollowedforobservationingrouptwotherewere40casesobservedforsurgicaltreatment.Inthestatisticsofobservationgroupduringtheprocessoffollow-uptherewerepresenceofhemangiomarelatedsymptoms,suchaschangeinthesizeofmass.Insurgicalgrouptherewasobservationofsurgicalcomplications

6、uchaspostoperativediscomfortassociatedwithsurgery.Results:Therewasasignificantdifferenceintheprognosisofsurgicalandfollowupgroup(P<0.01).InSurgicaltreatmenttherewereobservationofpostoperativecomplicationssuchaslocaldiscomfort.Ascomparetothesurgicalgrouptheprognosiso

7、ffollowupgroupwasmoresecure.Conclusion:Asymptomatichepatichemangiomashouldfollow-upforobservation.LargehemangiomaswithobvioussymptomsSurgicalresection.Keywords:Hepatichemangioma;Surgicaltreatment;Follow-upobservation肝血管瘤(hepatichemangioma^HH)是临床及日常牛活当中最为常见的肝脏良性肿瘤，临床

8、上常分为最多见的肝海绵状血管瘤、其次为血管内皮细胞瘤。毛细血管瘤及硬化性血管瘤在临床上特别少见。最常见的是肝脏海绵状血管瘤(HepaticCavernousHemangioma),肝血管瘤尸体检查发现率约为0.4%・7.4%,有相关文献报道提示，肝血管瘤在正常人群中体检发现率