转化医学电子杂志
轉化醫學電子雜誌
전화의학전자잡지
2015年
1期
83-85
,共3页
肝血管瘤%手术切除方式%治疗效果%安全性
肝血管瘤%手術切除方式%治療效果%安全性
간혈관류%수술절제방식%치료효과%안전성
hepatic hemangioma%surgical excision%curative %effect%safety
目的：分析不同手术切除方式治疗紧邻肝门及大血管的肝血管瘤疗效及安全性．方法：回顾性分析本院2009-02／2013-02收治的82例紧邻肝门及大血管的肝血管瘤病例资料，其中采用肝切除术55例（67．07％），其中肝楔形切除术15例（27．27％），肝叶切除14例（25．45％），左半肝切除12例（21．82％），右半肝切除8例（14．55％），右3叶切除6例（10．91％），动脉栓塞术14例（17．07％）及肝血管剥离术13例（15．86％），通过比较不同手术方式治疗的患者手术时间、住院时间、术后并发症及临床治疗有效率，分析不同手术方式治疗紧邻肝门及大血管的肝血管瘤疗效及安全性．结果：在治疗紧邻肝门及大血管的肝血管瘤的手术时间、住院时间、术后并发症及临床治疗有效率方面肝叶切除术治疗方式优于动脉栓塞术及肝血管剥离术，差异具有统计学意义（P ＜0．05）．结论：肝切除术在紧邻肝门及大血管的肝血管瘤疗效确切，并发症少，临床治疗有效率及患者满意度高，该手术方式值得临床推广应用．
目的：分析不同手術切除方式治療緊鄰肝門及大血管的肝血管瘤療效及安全性．方法：迴顧性分析本院2009-02／2013-02收治的82例緊鄰肝門及大血管的肝血管瘤病例資料，其中採用肝切除術55例（67．07％），其中肝楔形切除術15例（27．27％），肝葉切除14例（25．45％），左半肝切除12例（21．82％），右半肝切除8例（14．55％），右3葉切除6例（10．91％），動脈栓塞術14例（17．07％）及肝血管剝離術13例（15．86％），通過比較不同手術方式治療的患者手術時間、住院時間、術後併髮癥及臨床治療有效率，分析不同手術方式治療緊鄰肝門及大血管的肝血管瘤療效及安全性．結果：在治療緊鄰肝門及大血管的肝血管瘤的手術時間、住院時間、術後併髮癥及臨床治療有效率方麵肝葉切除術治療方式優于動脈栓塞術及肝血管剝離術，差異具有統計學意義（P ＜0．05）．結論：肝切除術在緊鄰肝門及大血管的肝血管瘤療效確切，併髮癥少，臨床治療有效率及患者滿意度高，該手術方式值得臨床推廣應用．
목적：분석불동수술절제방식치료긴린간문급대혈관적간혈관류료효급안전성．방법：회고성분석본원2009-02／2013-02수치적82례긴린간문급대혈관적간혈관류병례자료，기중채용간절제술55례（67．07％），기중간설형절제술15례（27．27％），간협절제14례（25．45％），좌반간절제12례（21．82％），우반간절제8례（14．55％），우3협절제6례（10．91％），동맥전새술14례（17．07％）급간혈관박리술13례（15．86％），통과비교불동수술방식치료적환자수술시간、주원시간、술후병발증급림상치료유효솔，분석불동수술방식치료긴린간문급대혈관적간혈관류료효급안전성．결과：재치료긴린간문급대혈관적간혈관류적수술시간、주원시간、술후병발증급림상치료유효솔방면간협절제술치료방식우우동맥전새술급간혈관박리술，차이구유통계학의의（P ＜0．05）．결론：간절제술재긴린간문급대혈관적간혈관류료효학절，병발증소，림상치료유효솔급환자만의도고，해수술방식치득림상추엄응용．
AIM:To investigate the curative effect and safety analysis on the treatment of hepatic hemangioma adjacent to porta hepatis and great vessels with different surgical excision.METH-ODS:From February 2009 to February 2013,82 patients in our hospital with hepatic hemangioma adjacent to porta hepatis and great vessels were chosen and analyzed retrospectively.Fifty five patients (67.07%)were treated with hepatectomy,of which 15 (27.27%) were treated with hepatic wedge resection, 14 (25.45%)were treated with hepatic lobectomy,12 (21.82%) were treated with left hemihepatectomy,8 (14.55%)were trea-ted with right hemihepatectomy,and 6 (10.91%)were treated with right hepatic trisegmentectomy. Fourteen patients (17.07%) were treated with arterial embolism and 13 (15.86%)were treated with hepatic vascular dissection.The curative effect and safety of treatments of hepatic hemangioma ad-jacent to porta hepatis and great vessels with different surgical ex-cision were analyzed by the comparison of operation duration, length of stay,postoperative complications and clinical efficiency. RESULTS:Comparing the operation duration,length of stay, postoperative complications and clinical efficiency in the treatment of hepatic hemangioma adjacent to porta hepatis and great vessels, hepatic lobectomy was better than arterial embolism and hepatic vascular dissection.The difference was statistically significant (P <0.05 ).CONCLUSION:The treatment with hepatectomy of hepatic hemangioma adjacent to porta hepatis and great vessels was effective with fewer complications.The clinical efficiency and patients'satisfaction was higher.It is worth further promotion in clinics.
