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射频消融治疗肝血管瘤的效果观察

孙力波 赵晓飞 张海涛 武聚山 林栋栋 臧运金 伏志 李宁

临床肝胆病杂志2017,Vol.33Issue(1):91-94,4.
临床肝胆病杂志2017,Vol.33Issue(1):91-94,4.DOI:10.3969/j.issn.1001-5256.2017.01.019

射频消融治疗肝血管瘤的效果观察

Clinical effect of radiofrequency ablation in treatment of hepatic hemangioma

孙力波 1赵晓飞 1张海涛 1武聚山 1林栋栋 1臧运金 1伏志 1李宁1

作者信息

  • 1. 首都医科大学附属北京佑安医院 肝胆外科暨肝移植中心,北京 100069
  • 折叠

摘要

Abstract

Objective To investigate the clinical effect and application experience of radiofrequency ablation in the treatment of hepatic he-mangioma.Methods A retrospective analysis was performed for the clinical data of 34 patients with hepatic hemangioma who underwent ra-diofrequency ablation in Beijing You′an Hospital from January 2011 to June 2015.Among these patients,22 underwent ultrasound -guided percutaneous transhepatic radiofrequency ablation (PRFA),10 underwent laparoscopic radiofrequency ablation (LRFA),and 2 underwent open hepatectomy combined with hepatic hemangioma radiofrequency ablation (OHRFA).The intraoperative and postoperative conditions were compared between patients undergoing different methods of radiofrequency ablation.Results All the patients underwent successful ra-diofrequency ablation.The mean time of operation in PRFA group,LRFA group,and OHRFA group was 75.45 ±27.33 min,97.90 ± 32.37 min,and 192.5 min,respectively,and the median hospital stay in these groups was 3 d,3 d,and 10.5 d,respectively.There were no serious complications during and after surgery.The complete remission rate at 1 month after surgery was 94.1%(32 /34).The patients were followed up for 6 -24 months and no recurrence was observed.Conclusion Radiofrequency ablation is a safe and effective procedure for the treatment of hepatic hemangioma.Strict control of surgical indications and selection of proper radiofrequency ablation approach are of great importance.

关键词

肝肿瘤/血管瘤/射频消融术

Key words

liver neoplasms/hemangioma/radiofrequency ablation

分类

医药卫生

引用本文复制引用

孙力波,赵晓飞,张海涛,武聚山,林栋栋,臧运金,伏志,李宁..射频消融治疗肝血管瘤的效果观察[J].临床肝胆病杂志,2017,33(1):91-94,4.

基金项目

北京市医院管理局重点医学专业发展计划 ()

临床肝胆病杂志

OA北大核心CSTPCD

1001-5256

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