中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
19期
65-68
,共4页
肝血管瘤%传统手术切除%剥离术%并发症
肝血管瘤%傳統手術切除%剝離術%併髮癥
간혈관류%전통수술절제%박리술%병발증
Hepatic hemangioma%Traditional operation resection%Dissection%Complications
目的：探讨肝血管瘤传统手术切除和剥离术疗效对比情况。方法选择四川省德阳市第二人民医院2008年2月~2014年2月收治的肝血管瘤患者60例临床资料，±据手术治疗方式不同分为治疗A组(肝血管瘤传统手术切除术组)30例和治疗B组(肝血管瘤剥离术组)30例。观察两组患者手术时间、术中出血量、输血量、肝血流阻断时间、住院天数情况；观察两组患者膈下积液、胆瘘、肝断面包裹性积液等术后并发症情况。结果治疗B组肝血管瘤患者手术时间[(64±15)min]、术中出血量[(235±65)mL]、输血量[(200±90)mL]、肝血流阻断时间[(5±4)min]、住院天数[(9.0±1.5)d]均明显低于治疗A组[(125±20)min、(685±100)mL、(505±95)mL、(16±5)min、(13.5±4.5)d]，差异均有统计学意义(P<0.05)；治疗B组肝血管瘤患者膈下积液、胆瘘、肝断面包裹性积液发生率(6.7%、0.0%、0.0%)均明显低于治疗A组(20.0%、6.7%、10.0%)，差异均有统计学意义(P<0.05)。结论肝血管瘤剥离术治疗肝血管瘤创伤小、恢复快，术后并发症少，值得临床推广应用。
目的：探討肝血管瘤傳統手術切除和剝離術療效對比情況。方法選擇四川省德暘市第二人民醫院2008年2月~2014年2月收治的肝血管瘤患者60例臨床資料，±據手術治療方式不同分為治療A組(肝血管瘤傳統手術切除術組)30例和治療B組(肝血管瘤剝離術組)30例。觀察兩組患者手術時間、術中齣血量、輸血量、肝血流阻斷時間、住院天數情況；觀察兩組患者膈下積液、膽瘺、肝斷麵包裹性積液等術後併髮癥情況。結果治療B組肝血管瘤患者手術時間[(64±15)min]、術中齣血量[(235±65)mL]、輸血量[(200±90)mL]、肝血流阻斷時間[(5±4)min]、住院天數[(9.0±1.5)d]均明顯低于治療A組[(125±20)min、(685±100)mL、(505±95)mL、(16±5)min、(13.5±4.5)d]，差異均有統計學意義(P<0.05)；治療B組肝血管瘤患者膈下積液、膽瘺、肝斷麵包裹性積液髮生率(6.7%、0.0%、0.0%)均明顯低于治療A組(20.0%、6.7%、10.0%)，差異均有統計學意義(P<0.05)。結論肝血管瘤剝離術治療肝血管瘤創傷小、恢複快，術後併髮癥少，值得臨床推廣應用。
목적：탐토간혈관류전통수술절제화박리술료효대비정황。방법선택사천성덕양시제이인민의원2008년2월~2014년2월수치적간혈관류환자60례림상자료，±거수술치료방식불동분위치료A조(간혈관류전통수술절제술조)30례화치료B조(간혈관류박리술조)30례。관찰량조환자수술시간、술중출혈량、수혈량、간혈류조단시간、주원천수정황；관찰량조환자격하적액、담루、간단면포과성적액등술후병발증정황。결과치료B조간혈관류환자수술시간[(64±15)min]、술중출혈량[(235±65)mL]、수혈량[(200±90)mL]、간혈류조단시간[(5±4)min]、주원천수[(9.0±1.5)d]균명현저우치료A조[(125±20)min、(685±100)mL、(505±95)mL、(16±5)min、(13.5±4.5)d]，차이균유통계학의의(P<0.05)；치료B조간혈관류환자격하적액、담루、간단면포과성적액발생솔(6.7%、0.0%、0.0%)균명현저우치료A조(20.0%、6.7%、10.0%)，차이균유통계학의의(P<0.05)。결론간혈관류박리술치료간혈관류창상소、회복쾌，술후병발증소，치득림상추엄응용。
Objective To investigate the curative effect by resection of hepatic hemangioma and traditional operation of stripping. Methods 60 patients of hepatic hemangioma in the Second People's Hospital of Deyang City from February 2008 to February 2014 were selected and divided into two groups according to different operation treatment ways. 30 cases in treatment A group were operated by liver hemangioma traditional operation resection and 30 cases in treatment B group were operated with hemangioma of liver dissection. The operation time, intraoperative bleeding, transfusion, hepatic blood occlusion time, hospitalization days of the two groups were detected; the subphrenic effusion, complica-tions of biliary fistula, hepatic section encapsulated effusion after operation of two groups were detected. Results The operation time [(64±15) min], intraoperative bleeding [(235±65) mL], transfusion [(200±90) mL], hepatic blood occlusion time [(5±4) min], hospitalization days (9.0±1.5) days] of treatment B group were better than those of treatment A group [(125±20) min, (685±100) mL, (505±95) mL, (16±5) min, (13.5±4.5) days], the differences were statistically significant (P< 0.05). The subphrenic effusion, complications of biliary fistula, hepatic section encapsulated effusion after opera-tion of treatment B group (6.7%, 0.0%, 0.0%) were better than those of treatment A group (20.0%, 6.7%, 10.0%), the differences were statistically significant (P<0.05). Conclusion The resection of hepatic hemangioma has small trauma, quick recovery, little of postoperative complications, it is worthy of clinical application.
