CT引导下微波消融术在肝血管瘤中的应用

Application of CT-Guided Microwave Ablation in Hepatic Hemangioma

目的:在计算机断层扫描(CT)引导下对肝血管瘤进行治疗的过程中应用微波消融术的效果进行研究。方法:研究对象均为2019年9月至2020年9月入郴州市第一人民医院接受治疗的40例肝血管瘤患者,采用单双号分组法进行分组,分别为对照组和观察组,每组20例。对对照组患者施以常规手术治疗,对观察组患者施以CT引导下微波消融术治疗,比较两组患者的治疗效果。结果:观察组患者治疗总有效率为90.00%,较对照组的50.00%明显更高,差异具有统计学意义(P<0.05)。两组患者治疗前肝功能各项指标比较,差异无统计学意义(P>0.05);经过治疗后,观察组患者谷草转氨酶、谷丙转氨酶水平均较对照组更低,差异具有统计学意义(P<0.05)。经过治疗后,观察组患者并发症发生率为20.00%,明显低于对照组的65.00%,差异具有统计学意义(P<0.05)。治疗后,观察组患者直接胆红素、总胆红素水平均较对照组更低,差异具有统计学意义(P<0.05)。结论:利用CT引导下微波消融术对肝血管瘤患者进行治疗,可以获得较好的临床效果。

Objective To study the effect of microwave ablation in the treatment of hepatic hemangioma under the guidance of computed tomography(CT).Methods The research subjects were all 40 patients with hepatic hemangioma who were admitted to our hospital for treatment from September 2019 to September 2020.They were divided into a control group and an observation group by odd-even number grouping method,with 20 cases in each group.The patients in the control group were treated with conventional surgery,and the patients in the observation group were treated with CT-guided microwave ablation.The therapeutic effects of the two groups were compared.Results The total effective rate of the observation group was 90.00%,significantly higher than 50.00%of the control group,the difference was statistically significant(P<0.05).There were no significant differences in liver function indexes between the two groups before treatment(P>0.05).After treatment,the levels of glutamic oxalacetic transaminase and alanine aminotransferase levels in the observation group were lower than those in the control group,with statistical significance(P<0.05).After treatment,the incidence of complications in the observation group was 20.00%,which was significantly lower than 65.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of direct bilirubin and total bilirubin in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion CT-guided microwave ablation for the treatment of hepatic hemangioma can achieve better clinical results.