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目的:研究腹腔镜下微波消融治疗有临床症状的、直径<10 cm肝血管瘤的临床疗效。方法:收集2011年1月—2014年1月在华中科技大学附属同济医院住院治疗的145例肝血管瘤患者资料,其中腹腔镜下微波消融58例(腔镜消融组),手术切除87例(手术切除组)。分析两组手术及随访结果,评估治疗效果。结果:两组术前一般资料具有可比性。腔镜消融组在手术时间、术中出血量、输血例数、术后并发症、术后住院时间等方面有明显优势(均P<0.05),症状消失情况与手术切除组相当。随访所有患者,病灶均无复发。结论:对有症状、直径<10 cm的肝血管瘤采用腹腔镜下微波消融可以获得肯定效果,且具有安全、微创、并发症少等优点。
Objective: To study the clinical efficacy of laparoscopic microwave ablation in the treatment of clinical symptoms of <10 cm diameter hepatic hemangiomas. Methods: The data of 145 patients with hepatic hemangiomas hospitalized in Tongji Hospital Affiliated to Huazhong University of Science and Technology from January 2011 to January 2014 were collected. Among them, 58 patients underwent laparoscopic microwave ablation (endoscopic ablation group) and 87 patients underwent surgical resection Surgical resection group). Two groups of surgery and follow-up results were analyzed to evaluate the treatment effect. Results: The preoperative general information was comparable. The endoscopic ablation group had obvious advantages in operation time, intraoperative blood loss, blood transfusion count, postoperative complications, postoperative hospital stay, etc. (all P <0.05), and the disappearance of symptoms was similar to that of the surgical resection group. All patients were followed up without recurrence. Conclusion: Laparoscopic microwave ablation of symptomatic hepatic hemangiomas with diameter less than 10 cm can achieve certain effect, which is safe, minimally invasive and less complication.