腹腔镜射频消融治疗肝海绵状血管瘤的体会  

The comprehension of laparoscopic radiofrequency ablation in the treatment of hepatic cavernous hemangioma

作　　者：刘浩润[1] 王观发[2] 李为民[1] 赵洪强[1] 郑方[1] 杜继东[1] 戴新[1] 许长涛[1] 

机构地区：[1]解放军第三○九医院肝胆外科,北京100091 [2]江西省宜春学院医学院

出　　处：《胃肠病学和肝病学杂志》2013年第1期28-30,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨腹腔镜射频消融治疗肝海绵状血管瘤的可行性及方法。方法回顾性分析我科2008年1月-2010年12月的8例行腹腔镜射频消融术治疗肝血管瘤的患者,血管瘤直径5～8.2 cm,其中7例为单发病灶、1例为2个病灶,射频消融时间为10～26 min,术后复查超声造影。结果 9个病灶均在腹腔镜下顺利完成手术,术中出血10～60 mL,术后8例患者均出现一过性转氨酶增高、发热,无胆瘘、出血、脏器损伤等严重并发症发生。结论经腹腔镜射频消融治疗肝海绵状血管瘤是安全、有效的治疗方法。To investigate the method and feasibility of the laparoscopic radiofrequency ablation in the treatment of hepatic cavernous hemangioma. Methods The clinical data of 8 patients with the treatment of laparoscopic radiofrequency ablation who came from Jan. 2008 to Dec. 2010 were analyzed retrospectively. The diameters of the hemangioma varied from 5 cm to 8.2 cm. There were 7 cases of solitary lesions, 1 case for 2 lesions. The radiofrequency ablation time varied from 10 min to 26 rain. Ultrasound contrast was performed for postoperative review. Results All 9 lesions laparoscopic operation were performed successfully. The hemorrhage during operation varied from 10 mL to 60 mL. After the treatment, all patients had developed transient transaminase and fever. There were no severe complications occured such as biliary fistula, hemorrhage and visceral injury. Conclusion It is safe and feasible to perform laparoscopic radiofrequency ablation to cure hepatic cavernous hemangioma.

关 键 词：腹腔镜 射频消融 肝血管瘤 微创 有效 

分 类 号：R735.7[医药卫生—肿瘤]