射频消融治疗肝脏巨大血管瘤的疗效分析

Radiofrequency ablation for treatment of giant hepatic hemangiomas

回顾性分析2011年6月至2016年5月在解放军总医院肝胆外科和长治医学院附属和平医院普通外科行射频消融治疗的32例肝血管瘤患者的临床资料。其中26例采用腹腔镜下射频消融治疗,6例采用B超引导下经皮射频消融+腹腔镜探查手术。共处理41个病灶,病灶直径2.0~12.0cm;射频消融时间18~72min,术中出血5~150ml。患者均痊愈出院。18例出现并发症(56%),主要为发热、血红蛋白尿等。随访12~60个月,3例有少许病灶残留。提示,肝血管瘤进行射频消融安全、有效,对于合适的患者是可供选择的治疗手段。

The clinical data of 32 patients with giant hepatic hemangioma (GHH)who underwent radiofrequency ablation (RFA)treatment in the PLA General Hospital and Affiliated Peace Hospital of Changzhi Medical College from June 2011 to May 2016 were retrospectively analyzed,including 26 cases treated with laparoscopy-guided RFA and 6cases treated with ultrasound-guided percutaneous transhepatic RFA +laparoscopy.A Total of 41 lesions were ablated,the diameters of lesions ranged from 2.0 to 12.0 cm. The RFA time ranged from 18 to 72 min and the volume of intraoperative bleeding varied from 5 ml to 150 ml.The incidence of postoperative complications was 56%,which mainly were fever and hemoglobinuria. Patients were followed up for 12 to 60 months;the lesions were incompletely ablated in 3 cases. Radiofrequency ablation is an effective and safe method for the treatment of giant hepatic hemangiomas.