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目的探讨肝血管瘤剥离术的临床应用和疗效。方法 46例肝血管瘤患者,23例采用剥离方法摘除肿瘤(剥离组),23例采用传统钳夹法切除肿瘤(手术切除组),比较2组出血量、手术时间、住院时间及术后并发症等指标。结果剥离组出血量((341.1±103.7)mL)、手术时间((20.6±3.6)min)、住院时间((9.6±5.0)d)及手术相关并发症发生率(0)均低于手术切除组((494.7±141.0)mL、(30.0±6.7)min、(11.2±4.0)d、13%)(P<0.05);2组术后随访1a均无复发。结论肝血管瘤剥离术是治疗肝血管瘤有效方法,具有操作简单、安全性好、损伤小、并发症少等优势。
Objective To investigate the clinical application and curative effect of hepatic hemangioma dissection. Methods Forty - six patients with hepatic hemangiomas were enrolled. Twenty - three patients underwent dissection to remove the tumor (dissection group), 23 patients underwent resection of the tumor by traditional clamp method (operation group). The bleeding volume, operation time, hospitalization time and postoperative complications Disease and other indicators. Results The amount of bleeding ((341.1 ± 103.7) mL), operation time ((20.6 ± 3.6) min), length of hospital stay (9.6 ± 5.0 d) and operative complications (0) (494.7 ± 141.0) mL, (30.0 ± 6.7) min, (11.2 ± 4.0) d, 13%, respectively (P <0.05); Conclusion Hepatic hemangioma dissection is an effective method for the treatment of hepatic hemangiomas, which has the advantages of simple operation, good safety, less damage and less complications.