García Reinoso C, Sáez-Royuela F, Gómez Rubio M, Gómez Carrascal C, Miranda Baiocchi R, Hernández Guío C
Rev Esp Enferm Apar Dig. 1989 Dec;76(6 Pt 2):617-21.
We present eleven patients diagnosed of giant hepatic hemangioma in the last 20 years. The diagnosis was confirmed in all the cases during laparoscopy or laparotomy. The mean age of the patients was 44.9 +/- 8.99; nine of them were women. Only two of the patients complained of abdominal pain. Five patients showed abnormal liver function tests; the most common finding was increased levels of alkaline phosphatase. We have reviewed the diagnostic tools employed: isotopic study of the liver with 99Tc, and labeled erythrocytes, abdominal ultrasonography, CAT, hepatic arteriography, laparoscopy, laparotomy and liver biopsy. Usually we employed more than one of these diagnostic methods. In the last years there has been a shift to employ less invasive procedures.
我们呈现了过去20年中被诊断为巨大肝血管瘤的11例患者。所有病例在腹腔镜检查或剖腹手术期间均得到确诊。患者的平均年龄为44.9±8.99岁；其中9例为女性。只有2例患者主诉腹痛。5例患者肝功能检查异常；最常见的发现是碱性磷酸酶水平升高。我们回顾了所采用的诊断工具：用99Tc和标记红细胞进行肝脏同位素研究、腹部超声检查、计算机断层扫描（CAT）、肝动脉造影、腹腔镜检查、剖腹手术和肝活检。通常我们会采用不止一种这些诊断方法。近年来，已转向采用侵入性较小的程序。
