微创手术切除与介入栓塞治疗肝血管瘤临床研究

发布时间：2018-01-09 17:55

本文关键词：微创手术切除与介入栓塞治疗肝血管瘤临床研究　出处：《大连医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:肝血管瘤属于临床常见的肝脏良性肿瘤,多数肝血管瘤病理类型为肝海绵状血管瘤。随着近年来人们健康意识的提升、更加经济便捷体检模式的出现和医学影像学的发展,肝血管瘤检出率逐年提升,而其在治疗指征、治疗方法及其疗效、卫生经济等方面尚存在许多争议。本论文通过收集2011年1月至2015年12月之间来我院进行肝血管瘤诊治患者的临床资料,结合最新文献进行分析,对肝血管瘤的介入栓塞和微创手术切除的临床治疗效果进行总结,加深对肝血管瘤及不同治2疗方法的认识,希望对制定更加安全有效的治疗对策有所帮助。方法:回顾性分析2011年1月—2015年12月在大连医科大学附属第一医院住院治疗的97例肝海绵状血管瘤患者临床资料,其中34例患者行微创手术治疗,63例患者行肝动脉介入栓塞治疗。分别统计两种治疗方案患者的性别、年龄、体重、肿瘤大小、数量、位置、有无临床症状等基本临床特点。观察研究两组治疗方法、手术适应症、治疗方式、住院时间、手术时间、术中出血量、治疗费用、术后并发症、复发情况等指标的特点,探讨肝血管瘤合理的治疗方法。结果:本文选取符合要求的患者共97例,所有患者治疗后均顺利出院。1,介入治疗组在手术时间、术后住院时间、术中出血量、术后近期疗效方面优于微创手术组,差异具有统计学意义,(P0.05)。2,介入治疗组复发情况高于手术组,差异具有统计学意义,(P0.05)。3,经介入治疗后,巨大血管瘤术后复发几率更高,差异具有统计学意义,(P0.05)。结论:1,微创手术治疗肝血管瘤疗效确切,可作为治疗首选方法,介入栓塞治疗创伤小,恢复快,但远期复发率较高。2,巨大血管瘤患者较大血管瘤患者经介入治疗后可能更容易复发。
[Abstract]:Objective: hepatic hemangioma is a common benign tumor of the liver, most of which are hepatic cavernous hemangioma. With the appearance of more economical and convenient physical examination mode and the development of medical imaging, the detection rate of hepatic hemangioma is increasing year by year. There are still many controversies in health and economy. This paper collected the clinical data of patients with hepatic hemangioma from January 2011 to December 2015, and analyzed the latest literature. To summarize the clinical effect of interventional embolization and minimally invasive resection of hepatic hemangioma, and to deepen the understanding of different treatment methods of hepatic hemangioma. It is hoped that it will be helpful to develop more safe and effective treatment strategies. The clinical data of 97 cases of hepatic cavernous hemangioma hospitalized in the first affiliated Hospital of Dalian Medical University from January 2011 to December 2015 were analyzed retrospectively. 34 patients underwent minimally invasive surgery and 63 patients underwent transcatheter arterial embolization. Sex, age, body weight, tumor size, number and location of the two treatment groups were statistically analyzed. Observation and study of the two groups of treatment methods, surgical indications, treatment methods, hospital stay, operative time, intraoperative bleeding volume, treatment costs, postoperative complications. Results: 97 patients with hepatic hemangioma were selected and all patients were discharged smoothly after treatment. Postoperative hospitalization time, intraoperative bleeding volume, postoperative short-term curative effect was better than that of minimally invasive operation group, the difference was statistically significant (P 0.05). The recurrence rate of interventional treatment group was higher than that of operation group. After interventional therapy, the recurrence rate of giant hemangioma was higher, and the difference was statistically significant. Minimally invasive surgery is effective in the treatment of hepatic hemangioma and can be used as the first choice for treatment. The interventional embolization therapy has the advantages of small trauma and quick recovery, but the long-term recurrence rate is high (.2%). Patients with large hemangioma may be more likely to recur after interventional therapy.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R735.7

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