CAJ | 학술논문

目的：探讨腹腔镜下微波固化治疗肝血管瘤的效果。方法对41例肝血管瘤患者采用腹腔镜下微波固化治疗。根据血管瘤大小，给予单点单次或多点单次微波固化。观察术后实验室检查结果、并发症发生情况及影像学检查判断治疗效果。结果所有患者均顺利完成微波固化治疗。术后4例患者出现转氨酶升高，2例患者出现发热。无出血、胆漏等并发症。随访4个月，完全损毁率为93．8％，部分损毁率为6．2％，所有患者均得到缓解。结论腹腔镜下微波固化是治疗肝血管瘤又一安全有效的微创治疗手段。
목적：탐토복강경하미파고화치료간혈관류적효과。방법대41례간혈관류환자채용복강경하미파고화치료。근거혈관류대소，급여단점단차혹다점단차미파고화。관찰술후실험실검사결과、병발증발생정황급영상학검사판단치료효과。결과소유환자균순리완성미파고화치료。술후4례환자출현전안매승고，2례환자출현발열。무출혈、담루등병발증。수방4개월，완전손훼솔위93．8％，부분손훼솔위6．2％，소유환자균득도완해。결론복강경하미파고화시치료간혈관류우일안전유효적미창치료수단。
Objective To investigate the curative effects of laparoscopic microwave coagulation on hepatic hemangioma.Methods A total of 41 cases with hepatic hemangioma underwent laparoscopic microwave coagulation therapy.Based on the diameters of hemangioma,single-or multi-site microwave co-agulation was performed.The data of laboratory tests,postoperative complications and imaging examinations were analyzed to estimate treatment effects.Results The therapy was successfully completed in all pa-tients.The levels of transaminase increased in 4 patients,and there were 2 patients with fever.No patients had postoperative hemorrhage or bile leakage.During the follow-up of 4 months,remission were observed in all patients.The complete response was 93.8%(61/65)and partial response was 6.2%(4/65).Conclu-sions Laparoscopic microwave coagulation is a safe,effective and minimally invasive therapy for hepatic hemangioma.