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腹腔镜手术切除术和介入栓塞治疗肝血管瘤患者的近期和远期疗效
作者:张崇伦 
单位:山东省五莲县人民医院 普外科 山东 日照 262300 
关键词:介入栓塞 腹腔镜手术切除术 肝血管瘤 临床疗效 
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出版年,卷(期):页码:2016,8(4):91-93
摘要:

摘要:目的 探讨腹腔镜手术切除术和介入栓塞治疗肝血管瘤患者近期和远期的临床效果。方法 回顾
性分析2012年3月至2014年3月于本院进行肝血管瘤治疗的124例患者的临床资料,依据治疗方法的不
同,将所有患者分为试验组和对照组,其中对照组患者(n = 76)采用腹腔镜手术切术治疗,试验
组患者(n = 48)采用介入栓塞治疗。根据患者的手术时间、术中出血量、治疗费用、住院时间、
近期并发症以及远期并发症发生率等判断患者的病情和治疗效果。结果 试验组患者在手术时间、术
中出血量、治疗费用、住院时间及近期并发症发生率等方面均低于对照组患者(P值分别为0.001、
0.023、0.026、0.034和0.043),对照组患者手术后远期并发症的发生率显著低于试验组患者(χ 2 =
0.846,P = 0.028)。结论 介入栓塞和腹腔镜手术切除术对肝血管瘤的治疗效果均较好且并发症较
少,应根据患者实际情况选择恰当的治疗方法,进行合理的个体化选择。

Abstract: Objective To evaluate short-term and long-term efficacy of laparoscopic surgical resection and
interventional embolization in treatment of patients with hepatic hemangioma. Methods The cilinical data of
124 patients with hepatic hemangioma from March 2012 to March 2014 in our hospital were retrospectively
analyzed. All patients were divided into treatment group (48 cases) and control group (76 cases) according to
treatment method. Patients in control group were treated with laparoscopic resection and patients in treatment
group were treated with interventional embolization. The operation time, blood loss, the cost of treatment,
hospital stay and incidence rates of long-term and short-term complications were recorded and compared.
Results The operation time, blood loss, the cost of treatment, hospital stay and incidence rate of short-term
complications in treatment group were significantly lower than those of control group (P = 0.001, 0.023,
0.026, 0.034 and 0.043), and the incidence rate of long-term complications in control group was significantly
lower than that of treatment group (χ 2 = 0.846, P = 0.028). Conclusion Laparoscopic surgical resection and
interventional embolization had a good efficacy and little complications in treatment of patients with hepatic
hemangioma. Appropriate treatment should be chosen according to the actual situation of the patients.

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