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- W3030003580 abstract "目的 探讨肝血管瘤诊断和治疗方法的合理选择,评价肝血管瘤手术治疗的风险性.方法 回顾性分析47例肝血管瘤患者的临床资料.36例患者具有各种不同程度的非特异性腹部症状或体征.B超、CT和磁共振成像(MRI)三种方法诊断准确率分别为44.7%、84.2%和100.0%.结果 16例患者行肝血管瘤挖除术,27例行常规肝叶或肝段切除术,1例行肝右动脉结扎加碘油栓塞术,3例患者实施了右半肝联合左外叶切除术以及肝段切除联合血管瘤挖除术.术后并发症发生率为25.5%(12/47).多变量Logistic回归分析示术中失血量和术中有无输红细胞(≥2 U)是术后并发症发生的独立风险因素(P=0.0280,P=0.0013).结论 肝血管瘤是常见的肝脏良性肿瘤,临床表现缺乏特异性;B超、CT和MRI是诊断肝血管瘤的主要手段,MRI的诊断准确率最高,对本病的诊断具有特殊意义;手术切除是肝血管瘤最理想的治疗方法,手术指征应从严把握.术中出血量和术中有无输红细胞(≥2 U)是影响肝血管瘤术后是否发生并发症的重要风险因素。" @default.
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- W3030003580 date "2007-07-15" @default.
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- W3030003580 title "Diagnosis and treatment of hepatic hemangioma:a report of 47 cases" @default.
- W3030003580 doi "https://doi.org/10.3760/cma.j.issn.1673-4904.2007.20.006" @default.
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