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Clinical effect of radiofrequency ablation in treatment of hepatic hemangioma
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摘要:
目的探讨射频消融治疗肝血管瘤的疗效及其应用经验。方法回顾性分析2011年1月-2015年6月于北京佑安医院就诊的34例行射频消融治疗的肝血管瘤患者的临床资料,其中超声引导下经皮肝穿射频消融22例,腹腔镜下射频消融10例,开腹肝切除联合肝血管瘤射频消融2例。观察采用不同射频消融方法进行治疗的患者术中及术后情况。结果所有患者射频消融治疗均顺利完成,超声引导下经皮肝穿射频消融组、腹腔镜下射频消融组和开腹肝切除联合肝血管瘤射频消融组平均手术时间分别为（75.45±27.33）min、（97.90±32.37）min、192.5 min,术后中位住院时间分别是3、3、10.5 d。术中、术后无严重并发症发生。术后1个月完全缓解率为94.1%（32/34）,所有病例随访624个月未见病灶复发。结论射频消融是一种安全、有效的肝血管瘤治疗方式,严格把握手术指征以及个体化选择射频手术方式十分重要。
Abstract:Objective To investigate the clinical effect and application experience of radiofrequency ablation in the treatment of hepatic hemangioma. Methods A retrospective analysis was performed for the clinical data of 34 patients with hepatic hemangioma who underwent radiofrequency 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 radiofrequency 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.
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Key words:
- liver neoplasms /
- hemangioma /
- radiofrequency ablation
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[1]LI XS,XIA F.Treatment options for hepatic hemangioma[J].J Hepatobiliary Surg,2015,23(1):7-9.(in Chinese)李雪松,夏锋.肝血管瘤治疗选择[J].肝胆外科杂志,2015,23(1):7-9. [2]BAI L,XU ZP,GONG JP.Advances in surgical treatment of hepatic hemangioma[J].Clin J Curr Adv Gen Surg,2013,16(4):312-315.(in Chinese)白浪,许仲平,龚建平.肝血管瘤外科治疗进展[J].中国现代普通外科进展,2013,16(4):312-315. [3]LANGE UG.Orthotopic liver transplantation for giant liver haemangioma:a case report[J].World J Transplant,2015,5(4):354. [4]MIURA JT,AMINI A,SCHMOCKER R,et al.Surgical management of hepatic hemangiomas:a multi-institutional experience[J].HPB,2014,16(10):924-928. [5]ERDOGAN D,BUSCH OR,van DELDEN OM,et al.Management of liver hemangiomas according to size and symptoms[J].J Gastroenterol Hepatol,2007,22(11):1953-1958. [6]JING L,LIANG H,CAIFENG L,et al.New recognition of the natural history and growth pattern of hepatic hemangioma in adults[J].Hepatol Res,2016,46(8):727-733. [7]GOIDESCU OC,PATRASCU T.Ruptured liver cavernous hemangioma-rare cause of hemoperitoneum[J].J Med Life,2015,8(1):73-74. [8]SUN J,NIE C,ZHANG Y,et al.Transcatheter arterial embolization alone for giant hepatic hemangioma[J].PLo S One,2015,10(8):e135158. [9]WANG SH,GAO J,KE S,et al.The safety and efficacy of radiofrequency ablation for treating large hepatic hemangiomas[J].Chin J Gen Surg,2014,29(3):172-176.(in Chinese)王劭宏,高君,柯山,等.射频消融治疗肝脏巨大血管瘤的疗效及安全性[J].中华普通外科杂志,2014,29(3):172-176. [10]ZHENG YM,WANG YH,LIU DB,et al.Role of radiofrequency ablation in surgery for giant hepatic hemangioma[J].The J Pract Med,2013,29(2):274-275.(in Chinese)郑亚民,王悦华,刘东斌,等.射频消融在肝巨大血管瘤手术中的应用[J].实用医学杂志,2013,29(2):274-275. [11]van TILBORG AA,DRESSELAARS HF,SCHEFFER HJ,et al.RF ablation of giant hemangiomas inducing acute renal failure:a report of two cases[J].Cardio Vasc Intervent Radiol,2016,39(11):1644-1648. -
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