经皮微波消融术和腹腔镜肝癌切除术治疗小肝癌的临床效果  

Clinical Effect of Percutaneous Microwave Ablation and Laparoscopic Hepatectomy for Small Hepatic Carcinoma

作　　者：潘伟华[1] 黄腾钦[1] 曾耿华 PAN Weihua;HUANG Tengqin;ZENG Genghua(The Second Hospital of Longyan,Fujian Province,Longyan 364000,China)

机构地区：[1]福建省龙岩市第二医院,福建龙岩364000

出　　处：《中国医学创新》2023年第17期17-20,共4页Medical Innovation of China

摘　　要：目的:探析经皮微波消融术和腹腔镜肝癌切除术治疗小肝癌的临床效果。方法:采用回顾性分析,将龙岩市第二医院肝胆外科2021年3月-2023年1月医治的84例小肝癌患者作为研究对象,按治疗方法分对照组和试验组,每组42例。对照组采用腹腔镜肝癌切除术,试验组采用经皮微波消融术。对比两组肝功能指标水平变化、手术指标、术后住院时间及术后并发症总发生率。结果:术后1个月,试验组丙氨酸氨基转移酶、血清总胆红素、天门冬氨酸氨基转移酶均低于对照组,白蛋白高于对照组,差异均有统计学意义(P<0.05);试验组的术中出血量少于对照组,手术时间短于对照组,差异均有统计学意义(P<0.05);试验组术后住院时间(4.89±1.67)d,短于对照组(8.79±3.45)d,差异有统计学意义(P<0.05);试验组术后并发症总发生率(2.38%)低于对照组(21.43%),差异有统计学意义(P<0.05)。结论:经皮微波消融术治疗小肝癌有较好的临床效果,可以有效降低并发症的发生率,缩短手术时间及住院时间,促进患者康复。Objective:To explore the clinical effect of percutaneous microwave ablation and laparoscopic hepatectomy for small hepatic carcinoma.Method:A total of 84 patients with small hepatic carcinoma treated in the Department of Hepatobiliary Surgery of the Second Hospital of Longyan from March 2021 to January 2023 were selected as research objects and retrospectively analyzed.According to treatment methods,they were divided into control group and experimental group,with 42 cases in each group.The control group was treated with laparoscopic hepatectomy,and the experimental group was treated with percutaneous microwave ablation.The changes of liver function indexes,surgical indexes,postoperative hospitalization time and the total incidence of postoperative complications were compared between the two groups.Result:1 month after surgery,alanine aminotransferase,serum total bilirubin and aspartate aminotransferase in the experimental group were lower than those in the control group,and albumin was higher than that in the control group,the differences were statistically significant(P<0.05).The intraoperative bleeding volume in the experimental group was less than that in the control group,and the surgery time was shorter than that in the control group,the differences were statistically significant(P<0.05).The postoperative hospitalization time in the experimental group was(4.89±1.67)d,shorter than(8.79±3.45)d in the control group,the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the experimental group(2.38%)was lower than that in the control group(21.43%),the difference was statistically significant(P<0.05).Conclusion:Percutaneous microwave ablation for small hepatic carcinoma has a good clinical effect,which can effectively reduce the incidence of complications,shorten the surgery time and hospitalization time,and promote the rehabilitation of patients.

关 键 词：小肝癌 经皮微波消融术 腹腔镜肝癌切除术 

分 类 号：R735.7[医药卫生—肿瘤]