超声引导下多针组合射频消融术治疗肝脏巨大血管瘤患者的疗效评价  

Efficacy evaluation of ultrasound-guided multi-needle combined with radio-frequency ablation in treatment of patients with giant hepatic hemangioma

作　　者：张鹏 Zhang Peng(Intervention Department,Anyang Fifth People's Hospital,Anyang,Henan 455000,China)

机构地区：[1]安阳市第五人民医院介入科,河南安阳455000

出　　处：《齐齐哈尔医学院学报》2023年第18期1723-1726,共4页Journal of Qiqihar Medical University

摘　　要：目的 分析超声引导下多针组合射频消融术(RFA)治疗肝脏巨大血管瘤患者的效果。方法 回顾性分析2017年3月-2021年3月本院收治的67例肝脏巨大血管瘤患者的临床资料,依照手术方法不同分为对照组(33例)和观察组(34例)两组。对照组接受腹腔镜切除术治疗,观察组接受超声引导下多针组合RFA治疗,比较两组的治疗效果。结果 观察组手术时间均较对照组短,出血量较对照组少(P<0.05),而两组住院时间、输血、中转开腹、二次治疗率对比,无明显差异(P>0.05);术后7 d,两组血清谷草转氨酶(AST)、谷丙转氨酶(ALT)水平均较术前高,而观察组低于对照组(P<0.05),而两组血清总胆红素(TBIL)、白蛋白(ALB)水平比较,均无明显差异(P>0.05)。术后1个月,两组血清AST、ALT水平均较术后7 d低(P<0.05),但组间血清AST、TBIL、ALB、ALT水平比较,均无明显差异(P>0.05)。两组并发症发生率比较,无明显差异(P>0.05)。结论 超声引导下多针组合RFA治疗肝脏巨大血管瘤患者,能缩短手术时间,减小对肝功能的影响,且不会明显增加并发症发生风险。Objective To analyze the effect of ultrasound-guided multi-needle combined with radio-frequency ablation(RFA)in the treatment of patients with giant hepatic hemangioma.Methods The clinical data of 67 patients with giant hepatic hemangioma who admitted to our hospital(from March 2017 to March 2021)were retrospectively analyzed,and divided into two groups according to different surgical methods.The control group(33 cases)received laparoscopic resection,and the observation group(34 cases)received ultrasound-guided multi-needle combined with RFA treatment.The treatment effects of the two groups were compared.Results The observation group had shorter operation time and less blood loss than the control group(P<0.05).There was no significant difference in hospitalization time,blood transfusion,conversion to laparotomy,and second treatment rates between the two groups(P>0.05).At 7 days after operation,the serum aspartate aminotransferase(AST)and alanine aminotransferase(ALT)levels of the two groups were higher than those before the operation,however,the levels in observation group were lower than those in the control group(P<0.05).There was no significant difference in serum total bilirubin(TBIL)and albumin(ALB)levels between the two groups(P>0.05).1 month after the operation,the serum AST and ALT levels of the two groups were lower than those on the 7th day after the operation(P<0.05),but there were no significant differences in serum AST,TBIL,ALB,ALT levels between the groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions Ultrasound-guided multi-needle combined with RFA treatment for patients with giant hepatic hemangioma can shorten the operation time,reduce the impact on liver function,and will not significantly increase the risk of complications.

关 键 词：腹腔镜切除术 超声引导 多针组合 射频消融 肝脏巨大血管瘤 肝功能 

分 类 号：R735.7[医药卫生—肿瘤]