摘要
目的比较肝巨大血管瘤的介入栓塞和手术切除的临床治疗效果,制定更加合理的治疗对策。方法回顾性分析2010年1月至2012年12月经介入栓塞或手术切除住院治疗的巨大肝血管瘤患者的治疗特点,并综合最新文献分析总结。结果介入栓塞组14例患者,平均手术时间58.9 min,术中平均出血量113 mL,无明显并发症,术后平均住院6.8 d,每位患者平均花费7 863.5元,总有效率达92.9%,无死亡病例;手术切除组8例患者,平均手术时间121.6 min,术中平均出血量356 mL,术后平均住院14.5 d,每位患者平均花费15 168.7 d,无死亡、复发病例。两组在平均手术时间、术中平均出血量、术后平均住院时间、平均花费上差异有统计学意义(P<0.05),在精神状况上差异无统计学意义(P>0.05)。结论介入栓塞与手术切除均可有效治疗肝巨大血管瘤,其治疗方案的选择应当根据治疗效果、成本效益和安全性,进行合理的个体化选择。
Objective To evaluate the therapeutic effects of superselective arterial embolization and partial hepatectomy for massive hepatic hemangioma and to make a more reasonable treatment strategy.Methods Characteristics of interventional embolization and partial hepatectomy in patients with massive hepatic hemangioma from January 2010 to December 2012 in our hospital were analyzed retrospectively.Results In the interventional embolization group of 14 patients,the average operation time was 58.9 minutes,with an average blood loss of 113 mL,an average postoperative hospital stay of 6.8 days,an average cost of 7 863.5 yuan and no obvious complications.The total effective rate was 92.9%and no death case was observed.In the operation resection group of 8 patients,the average operation time was 121.6minutes,with an average intraoperative bleeding volume of 356 mL,an average postoperative hospital stay of 14.5 days,an average cost of 15 168.7 yuan and no death or recurrence cases.There were significant differences（P0.05）in average operation time,average intraoperative bleeding volume,postoperative hospitalization time and average cost between the two groups,while there was no significant difference in the mental condition（P0.05）.Conclusion Both interventional embolization and operation resection are effective in the treatment of massive hepatic hemangioma.Concerning the curativeeffect,cost,and safety,reasonable individualized treatment should be applied to the hepatic hemangioma patients.
出处
《肝脏》
2015年第7期507-509,共3页
Chinese Hepatology
关键词
介入栓塞
手术切除
巨大肝血管瘤
Interventional embolization
Operation resection
Massive hepatic hemangioma
