局解手术学杂志2017，Vol.26Issue(12)：886-889,4.DOI:10.11659/jjssx.07E017001
微波消融辅助治疗严重外伤性肝破裂的临床应用
Clinical application of microwave ablation in treatment of severe traumatic liver rupture
摘要
Abstract
Objective To evaluate the clinical application value of microwave ablation assistant therapy in severe traumatic liver rup -ture.Methods The clinical data of 42 patients with severe traumatic liver rupture treated by microwave ablation in Fuling central hospital from October 2012 to June 2016 were retrospectively analyzed .The treatment effect ,operation time ,intraoperative blood loss and postoperative complications were observed .Results Among the 42 patients,simple microwave ablation hemostasis was performed in 11 cases,microwave ablation hemostasis and deep mattress suture in 13 cases and microwave ablation hemostasis debridement plus partial hepatectomy in 18 ca-ses.Forty cases were cured .During perioperative period ,3 cases of bile leakage occurred ,massive ascites was found in 2 cases,massive pleu-ral effusion was found in 4 cases,incision infection was found in 2 cases,transient mild hemoglobinuria occurred in 3 cases.After treatment, the patients recovered to normal without postoperative bleeding ,gastrointestinal leakage ,liver failure or other complications .During the follow-up of at least 2 months,massive pleural effusion occurred in 3 cases,liver abscess in 2 cases,no deaths more.Conclusion Microwave abla-tion assisted treatment of severe traumatic liver rupture is a relatively safe and effective method ,it can reduce operation time and intraoperative bleeding and be used in clinical practice .关键词
微波消融/肝破裂/外伤性/辅助Key words
microwave ablation/liver rupture/traumatic/adjuvant therapy分类
医药卫生引用本文复制引用
王吉明,隆洪木,陈先锋..微波消融辅助治疗严重外伤性肝破裂的临床应用[J].局解手术学杂志,2017,26(12):886-889,4.基金项目
重庆市第一批区域医学重点科室建设项目(zdxk201605) （zdxk201605）
