肝血管瘤传统手术切除和剥离术疗效对比

目的探讨肝血管瘤传统手术切除和剥离术疗效对比情况。方法选择四川省德阳市第二人民医院2008年2月～2014年2月收治的肝血管瘤患者60例临床资料,依据手术治疗方式不同分为治疗A组（肝血管瘤传统手术切除术组）30例和治疗B组（肝血管瘤剥离术组）30例。观察两组患者手术时间、术中出血量、输血量、肝血流阻断时间、住院天数情况;观察两组患者膈下积液、胆瘘、肝断面包裹性积液等术后并发症情况。结果治疗B组肝血管瘤患者手术时间（64±15）min]、术中出血量（235±65）mL]、输血量（200±90）mL]、肝血流阻断时间（5±4）min]、住院天数（9.0±1.5）d]均明显低于治疗A组（125±20）min、（685±100）mL、（505±95）mL、（16±5）min、（13.5±4.5）d],差异均有统计学意义（P〈0.05）;治疗B组肝血管瘤患者膈下积液、胆瘘、肝断面包裹性积液发生率（6.7%、0.0%、0.0%）均明显低于治疗A组（20.0%、6.7%、10.0%）,差异均有统计学意义（P〈0.05）。结论肝血管瘤剥离术治疗肝血管瘤创伤小、恢复快,术后并发症少,值得临床推广应用。

Comparison of curative effect by resection of hepatic hemangioma and traditional operation of stripping

Objective To investigate the curative effect by resection of hepatic hemangioma and traditional operation of stripping. Methods 60 patients of hepatic hemangioma in the Second People＇s Hospital of Deyang City from February2008 to February 2014 were selected and divided into two groups according to different operation treatment ways. 30cases in treatment A group were operated by liver hemangioma traditional operation resection and 30 cases in treatment B group were operated with hemangioma of liver dissection. The operation time, intraoperative bleeding, transfusion,hepatic blood occlusion time, hospitalization days of the two groups were detected; the subphrenic effusion, complications of biliary fistula, hepatic section encapsulated effusion after operation of two groups were detected. Results The operation time （64±15） min], intraoperative bleeding （235±65） mL], transfusion （200±90） mL], hepatic blood occlusion time （5±4） min], hospitalization days（9.0±1.5） days] of treatment B group were better than those of treatment A group（125±20） min,（685±100） mL,（505±95） mL,（16±5） min,（13.5±4.5） days], the differences were statistically significant（P〈0.05）. The subphrenic effusion, complications of biliary fistula, hepatic section encapsulated effusion after operation of treatment B group（6.7%, 0.0%, 0.0%） were better than those of treatment A group（20.0%, 6.7%, 10.0%）, the differences were statistically significant（P〈0.05）. Conclusion The resection of hepatic hemangioma has small trauma,quick recovery, little of postoperative complications, it is worthy of clinical application.