肝血管瘤手术切除与肝动脉栓塞回顾性比较研究  

A Retrospective Comparative Study on Surgical Resection of Hepatic Hemangioma and Hepatic Artery Embolization

作　　者：郑立伟 艾尔夏提·依布拉音 ZHENG Liwei;Aierxiati·Yibulayin(Department of General Surgery,the First People's Hospital of Kashgar,Kashgar,Xinjiang Uygur Autonomous Region,844000 China;Department of Hepatobiliary Surgery,the First People's Hospital of Kashgar,Kashgar,Xinjiang Uygur Autonomous Region,844000 China)

机构地区：[1]喀什地区第一人民医院普外科,新疆喀什844000 [2]喀什地区第一人民医院肝胆外科,新疆喀什844000

出　　处：《世界复合医学》2022年第9期143-147,共5页World Journal of Complex Medicine

基　　金：新疆维吾尔自治区自然科学基金自助项目(2021D01C020)。

摘　　要：目的分析肝血管癌的治疗中手术切除术和肝动脉栓塞术的临床疗效。方法选取2019年6月—2020年12月期间喀什地区第一人民医院收治60例肝血管癌患者作为研究对象,按照不同治疗方式分作两组,每组30例,观察组实施肝动脉栓塞治疗,对照组实施外科手术切除治疗,对比两组在治疗后的复发率、近远期并发症、术中出血量、手术时间、住院时间情况。结果观察组治愈率为93.33%较对照组的66.66%高,差异有统计学意义(χ^(2)=6.667,P=0.010);观察组近期并发症发生率较对照组低,差异有统计学意义(χ^(2)=7.680,P=0.006);其中观察组肝动脉栓塞术的复发率较高于对照组,远期并发症发生率高于对照组,差异有统计学意义(P<0.05);观察组手术时间和住院时间均短于对照组,术中的出血量低于对照组,差异有统计学意义(P<0.05)。结论肝动脉栓塞术应用在肝血管瘤的治疗上虽然具有创伤小、出血量低以及恢复快速的优势,但由于血管瘤的瘤体仍然存在,所以具有较高的复发率。而外科手术切除术虽对于机体造成的创伤较大,出血量相对较高,术后的近期并发症发生率较高,但因可完全的切除瘤体,具有较低的复发率。因此具体的治疗手段需要综合评估患者的实际情况和个人意愿来择选合适治疗策略。Objective To analyze the clinical efficacy of surgical resection and hepatic artery embolization in the treatment of hepatic vascular carcinoma.Methods A total of 60 patients with hepatic vascular cancer admitted to the First People’s Hospital of Kashgar from June 2019 to December 2020 were selected as the subjects of this study.According to different treatment methods,they were divided into two groups,30cases in the observation group were treated with hepatic artery embolization,and 30 cases in the control group were treated with surgical resection.The recurrence rate,short-term and long-term complications,intraoperative blood loss,operation time,and hospitalization time were compared between the two groups after treatment.Results The observation group was 93.33%,and the cure rate of the control group was66.66%,there were statistically significant differences in the cure rate(χ^(2)=6.667,P=0.010);the recent complication rate in the observation group was lower than that in the control group,the difference was statistically significan(χ^(2)=7.680,P=0.006);the recurrence rate of hepatic artery embolization in the observation group was higher than that in the control group,and the long-term complication rate was higher than that in the control group,the difference was statistically significant(P<0.05);the operation time and hospitalization time of the observation group were shorter than those of the control group,and the amount of bleeding during operation was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of hepatic artery embolization in the treatment of hepatic hemangioma has the advantages of small trauma,low blood loss and rapid recovery.However,because the tumor body of hemangioma still exists,it has a high recurrence rate.Surgical resection is more traumatic to the body,the blood loss is relatively high,and the incidence of short-term postoperative complications rate is high.However,due to the complete resection of the tumor,it has

关 键 词：肝血管瘤 外科手术切除 肝动脉栓塞术 出血量 

分 类 号：R732.2[医药卫生—肿瘤]