兒童肝血管瘤的診治現(xiàn)狀與進展

［摘要］兒童肝血管瘤是兒童嬰幼兒期最常見的肝臟良性血管源性腫瘤，部分兒童肝血管瘤與肝臟惡性腫瘤鑒別困難，且少數(shù)有惡性轉化或出現(xiàn)危及生命并發(fā)癥的可能。本文綜述了兒童肝血管瘤的分型、臨床特征、診斷、治療及預后等，以期為該病的臨床診治提供參考。

［關鍵詞］血管瘤；肝腫瘤；診斷，鑒別；治療學；預后；嬰兒；綜述

［中圖分類號］R732.2;R735.7［文獻標志碼］A

Current status and advances in diagnosis and treatment of hepatic hemangioma in childrenXIU Wenli， CUI Fengjing， ZHANG Jingli， LIU Jie， HAO Xiwei， XIA Nan， DONG Qian （Department of Pediatric Surgery， The Affiliated Hospital of Qingdao University， Qingdao 266003， China）

［ABSTRACT］Hepatic hemangioma in children is the most common benign angiogenic tumor of the liver in infancy. It is difficult to differentiate hepatic hemangioma from malignant liver tumors in some children， and there is also the possibility of malignant transformation and life-threatening complications. This article reviews the classification， clinical features， diagnosis， treatment， and prognosis of hepatic hemangioma， in order to provide a reference for the clinical diagnosis and treatment of this disease.

［KEY WORDS］Hemangioma; Liver neoplasms; Diagnosis， differential; Therapeutics; Prognosis; Infant; Review

兒童肝血管瘤是兒童嬰幼兒期最常見的肝臟良性血管源性腫瘤[1]，盡管其屬于良性腫瘤，但是部分兒童肝血管瘤與肝臟惡性腫瘤鑒別困難，且少數(shù)具有惡性轉化或者出現(xiàn)危及生命并發(fā)癥的可能[2]，因此早期鑒別診斷和及時治療尤為重要。（剩余11647字）