外科手术与肝动脉介入栓塞治疗肝血管瘤临床分析  

Hepatic artery interventional embolization and surgical resection for hepatic hemangioma

作　　者：张小昭 王彦超[1] 连文波 金亮[1] 蔡飞[1] 张示杰[2] 张永久[3] 周旭坤[4] 

机构地区：[1]石河子大学医学院,2012级新疆石河子832000 [2]石河子大学医学院第一附属医院肝胆外科,新疆石河子832008 [3]兰州军区乌鲁木齐总医院,乌鲁木齐830000 [4]新疆生产建设兵团医院,乌鲁木齐830000

出　　处：《中华实用诊断与治疗杂志》2015年第9期875-876,共2页Journal of Chinese Practical Diagnosis and Therapy

基　　金：国家科技支撑计划(2013BAI05B05);兵团科技援疆计划项目(2013AB026)

摘　　要：目的比较外科手术与肝动脉介入栓塞术治疗肝血管瘤的疗效。方法肝血管瘤患者156例,行外科手术治疗者81例为手术组,行肝动脉介入栓塞治疗者75例为介入组,观察2组手术时间,术后住院时间,治愈率,术后近、远期并发症发生率及复发率等。结果手术组手术时间[(125.46±54.24)min]、术后住院时间[(12.95±5.58)d]较介入组[(85.86±19.16)min、(6.37±1.25)d]长(P<0.05),治愈率(100.0%)高于介入组(92.0%)(P<0.05),术后近期并发症发生率(19.8%)与介入组(20.0%)比较差异无统计学意义(P>0.05),远期并发症发生率(4.9%)及复发率(0)低于介入组(17.3%,20.0%)(P<0.05)。结论外科手术治疗肝血管瘤疗效确切,术后并发症少,可作为治疗首选方法;肝动脉介入栓塞治疗创伤小、恢复快,但远期并发症与复发率较高,可作为肝血管瘤手术治疗的辅助方案。Objective To compare the therapeutic effects of hepatic artery interventional embolization and surgical resection for hepatic hemangioma in order to provide a reference for the treatment of hepatic hemangioma. Methods In 156 patients with hepatic hemangioma, 81 were performed surgical resection （resection group） and 75 were performed hepatic artery interventional embolization （intervention group）. The operation lasting time, postoperative hospitalization stay, the curative rate, incidences of short- and long-term postoperative complications and the recurrence rate were detected and compared between two groups. Results The operation lasting time （（125. 46 ± 54. 24） rain） and postoperative hospitalization stay （（12. 95 ± 5. 58） d） were longer, and the curative rate （100. 0%） was higher in resection group than those in intervention group （（85. 86±19.16） min, （6.37±1.25） d, 92.0%） （P〈0.05）. There was no significant difference in the incidence of short-term postoperative complications between resection group （19.8 %） and intervention group （20.0%） （P〈0.05）. The incidence of long-term complication and recurrence rate were lower in resection group （4. 90%, 0） than those in intervention group （ 17. 3 %, 20. 00%） （P〈 0.05）. Conclusion Surgical resection is effective for hepatic hemangioma, with few postoperative complications, and can be used as the first choice. Hepatic artery interventional embolization has small trauma and rapid recovery, but has high incidence of long-term postoperative complications and recurrence rate, and can be used as an auxiliary program for the surgical treatment.

关 键 词：肝血管瘤 外科手术 肝动脉介入栓塞术 

分 类 号：R735.7[医药卫生—肿瘤]