射频消融治疗肝血管瘤回顾性分析

Retrospective Analysis of Radiofrequency Ablation on Hepatic Hemangioma

目的:分析射频消融治疗肝血管瘤的安全性及临床疗效。方法:回顾性分析笔者所在医院2016年1月-2017年12月射频消融治疗的54例肝血管瘤患者临床资料,分析术中及术后情况,并对不同直径的肿瘤治疗情况进行分析。结果:54例肝血管瘤均顺利完成射频消融治疗,消融次数1~9次,平均(2.4±0.7)次,术后右上腹疼痛14例,发生率为25.9%,术后发热11例,发生率为20.4%,无出血、胆漏、肝脓肿等严重并发症发生。术后3个月评估治疗效果,总有效率为94.4%。对不同直径血管瘤比较发现,直径≥5 cm血管瘤消融次数多于直径<5 cm血管瘤消融次数(t=4.173,P=0.006),直径<5 cm血管瘤射频消融治疗有效率高于直径≥5 cm血管瘤(字2=5.038,P=0.025)。直径≥5 cm血管瘤射频消融后发生上腹部疼痛的比例高于直径<5 cm血管瘤(字2=7.018,P=0.008),发热发生率高于直径<5 cm血管瘤(字2=8.537,P=0.003)。结论:射频消融治疗肝血管瘤具有较好的临床效果,疗效确切,安全性高,尤其对于体积较小的肝血管瘤更为适用。

Objective：To analyze safety and clinical efficacy of radiofrequency ablation on hepatic hemangioma.Method：54 cases of clinical data with hepatic hemangioma by radiofrequency ablation were selected from Jan 2016 to Dec 2017 were analyzed retrospectively.Intraoperative conditions and postoperative conditions were analyzed,and treatment of different diameters was contrasted.Result：54 cases of hepatic hemangioma were successfully treated with radiofrequency ablation.Ablation times was 1-9,average times was（2.4±0.7）.14 cases（25.9%） occured right upper abdominal pain,and 11 cases（20.4%） occured fever,and there was no serious complications,bleeding,bile leakage,liver abscess and so on,curative effect was evaluated at 3 months after operation,total effective rate was 94.4%.and contrasting different diameter hepatic hemangioma,ablation times was more in diameter ≥5 cm hemangioma than diameter 5 cm hemangioma（t=4.173,P=0.006）,total effective rate was more in diameter ≥5 cm hemangioma than diameter 5 cm hemangioma（χ^2=5.038,P=0.025）,incidence rate of upper abdominal pain was higher in diameter ≥5 cm hemangioma than diameter 5 cm hemangioma（ χ^2=7.018,P=0.008） and incidence rate of fever was higher in diameter ≥5 cm hemangioma than diameter 5 cm hemangioma（ χ^2=8.537,P=0.003）.Conclusion：Radiofrequency ablation has a good clinical effect in the treatment of hepatic hemangioma.