肝血管瘤传统手术切除和剥离术疗效比较  

Comparison of traditional surgical resection with blunt dissection for hepatic hemangioma

作　　者：闫勇[1] 戴睿武[1] 钟祖凌 叶明辉[1] 江宗兴[1] 朱永强[1] 

机构地区：[1]成都军区总医院全军普通外科中心,成都610083

出　　处：《中华实用诊断与治疗杂志》2014年第2期179-180,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨肝血管瘤剥离术的临床应用和疗效。方法 46例肝血管瘤患者,23例采用剥离方法摘除肿瘤(剥离组),23例采用传统钳夹法切除肿瘤(手术切除组),比较2组出血量、手术时间、住院时间及术后并发症等指标。结果剥离组出血量((341.1±103.7)mL)、手术时间((20.6±3.6)min)、住院时间((9.6±5.0)d)及手术相关并发症发生率(0)均低于手术切除组((494.7±141.0)mL、(30.0±6.7)min、(11.2±4.0)d、13%)(P<0.05);2组术后随访1a均无复发。结论肝血管瘤剥离术是治疗肝血管瘤有效方法,具有操作简单、安全性好、损伤小、并发症少等优势。Objective To explore the clinical application and therapeutic effect of blunt dissection for hepatic hemangioma. Methods Forty-six patients with hepatic hemangioma were divided into two groups, with 23 patients in each group. Dissection group received blunt dissection and control group received traditional resection method. The amount of bleeding, operation time, duration of hospitalization and postoperative complications were compared between two groups. Results The amount of bleeding, operation time, duration of hospitalization and operation-related complication rate were （341. 1±103. 7）mL, （20. 6 ± 3. 6） minutes, （9. 6 ± 5. 0） days and 0 in dissection group, significantly lower than those in traditional group （（494.7±141.0） mL, （30.0±6.7） minutes, （11.2±4.0） days and 13%） （P（0.05）. No relapse was found in postoperative 1-year follow-up. Conclusions Blunt dissection is a simple, safe and effective method for hepatic hemangioma, with the advantages of minor trauma and less complications.

关 键 词：肝血管瘤 剥离术 手术切除 

分 类 号：R735.7[医药卫生—肿瘤]