儿童肝血管瘤的诊治现状与进展

［摘要］儿童肝血管瘤是儿童婴幼儿期最常见的肝脏良性血管源性肿瘤，部分儿童肝血管瘤与肝脏恶性肿瘤鉴别困难，且少数有恶性转化或出现危及生命并发症的可能。本文综述了儿童肝血管瘤的分型、临床特征、诊断、治疗及预后等，以期为该病的临床诊治提供参考。

［关键词］血管瘤；肝肿瘤；诊断，鉴别；治疗学；预后；婴儿；综述

［中图分类号］R732.2;R735.7［文献标志码］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

儿童肝血管瘤是儿童婴幼儿期最常见的肝脏良性血管源性肿瘤[1]，尽管其属于良性肿瘤，但是部分儿童肝血管瘤与肝脏恶性肿瘤鉴别困难，且少数具有恶性转化或者出现危及生命并发症的可能[2]，因此早期鉴别诊断和及时治疗尤为重要。（剩余11647字）