外科手术与肝动脉介入栓塞治疗肝血管瘤临床分析

来源 :中华实用诊断与治疗杂志 | 被引量 : 0次 | 上传用户:jackyzero123
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目的比较外科手术与肝动脉介入栓塞术治疗肝血管瘤的疗效。方法肝血管瘤患者156例,行外科手术治疗者81例为手术组,行肝动脉介入栓塞治疗者75例为介入组,观察2组手术时间,术后住院时间,治愈率,术后近、远期并发症发生率及复发率等。结果手术组手术时间[(125.46±54.24)min]、术后住院时间[(12.95±5.58)d]较介入组[(85.86±19.16)min、(6.37±1.25)d]长(P<0.05),治愈率(100.0%)高于介入组(92.0%)(P<0.05),术后近期并发症发生率(19.8%)与介入组(20.0%)比较差异无统计学意义(P>0.05),远期并发症发生率(4.9%)及复发率(0)低于介入组(17.3%,20.0%)(P<0.05)。结论外科手术治疗肝血管瘤疗效确切,术后并发症少,可作为治疗首选方法;肝动脉介入栓塞治疗创伤小、恢复快,但远期并发症与复发率较高,可作为肝血管瘤手术治疗的辅助方案。 Objective To compare the curative effects of surgical intervention and hepatic arterial embolization on hepatic hemangiomas. Methods Hepatic hemangioma in 156 patients, 81 cases of surgical treatment of the surgical group, 75 cases of interventional hepatic artery embolization intervention group, the observation group 2 operation time, postoperative hospital stay, cure rate, postoperative, Long-term complications and recurrence rate. Results The operative time of the operation group was (125.46 ± 54.24) min and the length of postoperative hospital stay (12.95 ± 5.58) d was longer than that of the intervention group (85.86 ± 19.16 min, 6.37 ± 1.25 d) (P <0.05) , The cure rate (100.0%) was higher than that of the intervention group (92.0%) (P <0.05). There was no significant difference in the incidence of postoperative complication (19.8%) and intervention group (20.0% The incidence of long-term complication (4.9%) and recurrence rate (0) were lower than those in the intervention group (17.3%, 20.0%) (P <0.05). Conclusions The surgical treatment of hepatic hemangiomas is effective and has few postoperative complications. It can be used as the preferred method of treatment. Hepatic arterial embolization is less invasive and faster to recover, but the long-term complications and recurrence rate may be used as hepatic hemangiomas Treatment of supplementary programs.
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