發(fā)布時(shí)間：2018-01-09 17:55

  本文關(guān)鍵詞：微創(chuàng)手術(shù)切除與介入栓塞治療肝血管瘤臨床研究　出處：《大連醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 肝血管瘤 微創(chuàng)手術(shù) 介入栓塞術(shù)

【摘要】：目的:肝血管瘤屬于臨床常見的肝臟良性腫瘤,多數(shù)肝血管瘤病理類型為肝海綿狀血管瘤。隨著近年來人們健康意識的提升、更加經(jīng)濟(jì)便捷體檢模式的出現(xiàn)和醫(yī)學(xué)影像學(xué)的發(fā)展,肝血管瘤檢出率逐年提升,而其在治療指征、治療方法及其療效、衛(wèi)生經(jīng)濟(jì)等方面尚存在許多爭議。本論文通過收集2011年1月至2015年12月之間來我院進(jìn)行肝血管瘤診治患者的臨床資料,結(jié)合最新文獻(xiàn)進(jìn)行分析,對肝血管瘤的介入栓塞和微創(chuàng)手術(shù)切除的臨床治療效果進(jìn)行總結(jié),加深對肝血管瘤及不同治2療方法的認(rèn)識,希望對制定更加安全有效的治療對策有所幫助。方法:回顧性分析2011年1月—2015年12月在大連醫(yī)科大學(xué)附屬第一醫(yī)院住院治療的97例肝海綿狀血管瘤患者臨床資料,其中34例患者行微創(chuàng)手術(shù)治療,63例患者行肝動(dòng)脈介入栓塞治療。分別統(tǒng)計(jì)兩種治療方案患者的性別、年齡、體重、腫瘤大小、數(shù)量、位置、有無臨床癥狀等基本臨床特點(diǎn)。觀察研究兩組治療方法、手術(shù)適應(yīng)癥、治療方式、住院時(shí)間、手術(shù)時(shí)間、術(shù)中出血量、治療費(fèi)用、術(shù)后并發(fā)癥、復(fù)發(fā)情況等指標(biāo)的特點(diǎn),探討肝血管瘤合理的治療方法。結(jié)果:本文選取符合要求的患者共97例,所有患者治療后均順利出院。1,介入治療組在手術(shù)時(shí)間、術(shù)后住院時(shí)間、術(shù)中出血量、術(shù)后近期療效方面優(yōu)于微創(chuàng)手術(shù)組,差異具有統(tǒng)計(jì)學(xué)意義,(P0.05)。2,介入治療組復(fù)發(fā)情況高于手術(shù)組,差異具有統(tǒng)計(jì)學(xué)意義,(P0.05)。3,經(jīng)介入治療后,巨大血管瘤術(shù)后復(fù)發(fā)幾率更高,差異具有統(tǒng)計(jì)學(xué)意義,(P0.05)。結(jié)論:1,微創(chuàng)手術(shù)治療肝血管瘤療效確切,可作為治療首選方法,介入栓塞治療創(chuàng)傷小,恢復(fù)快,但遠(yuǎn)期復(fù)發(fā)率較高。2,巨大血管瘤患者較大血管瘤患者經(jīng)介入治療后可能更容易復(fù)發(fā)。
[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.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R735.7

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本文編號：1402038