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Feasibility and Advantages of Large Liver Hemangioma Treated with Laparoscopic Microwave Ablation

机译:腹腔镜微波消融治疗大肝血管瘤的可行性和优势

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Background/Aims: To evaluate feasibility and superiority of large liver hemangioma treated with laparoscopic microwave ablation. Methodology: Between March 200b and May 2013, 47 patients with liver hemangioma (5-10 cm) were surgically treated in our department, and were randomly divided into three groups, laparoscopic microwave ablation group (treatment group), traditional opening group, and laparoscopic resection group. Three groups were compared in respect of postoperative ambulation time, gastrointestinal function recovery time, postoperative liver function recovery time, intraoperative blood loss, postoperative hospital stay, using SPSS13.0 software and analysis of variance, P <0.05 indicates signilicant, then adopting Studenl-Ncwman-Keuls method to compare mean value of every two groups. And the treatmentgroup of patients were tracked and reviewed. Results: With regard to above aspects, treatment group and two control groups were compared, P <0.05 was considered statistically significant, then the result of S-N-K method showed that the treatment group was far better than the control group in the above four areas, however compared with traditional opening group laparoscopic resection group did not demonstrate any superiority. Tracking the patients of treatment group proved no recurrence, and one case's CT films before and after surgery were compared, further confirming the feasibility of microwave ablation. Conclusions: To large hepatic hemangioma, laparoscopic microwave ablation in respect of intraoperative injury, postoperative recovery and costs is superior to other methods, and the treatment effect is certain, it's feasible and worthy of promotion.
机译:背景/目的:评价腹腔镜微波消融治疗大型肝血管瘤的可行性和优越性。方法:自200年3月至2013年5月,我科对47例5-10 cm肝血管瘤患者进行了手术治疗,并随机分为三组:腹腔镜微波消融组(治疗组),传统开腹组和腹腔镜切除组。使用SPSS13.0软件对3组患者的术后活动时间,胃肠功能恢复时间,肝功能恢复时间,术中失血量,术后住院时间进行比较,P <0.05表示有重要意义,然后采用Studenl-用Ncwman-Keuls方法比较每两组的平均值。并对患者的治疗组进行跟踪和审查。结果:就上述方面而言,比较治疗组和两个对照组,P <0.05被认为具有统计学意义,然后SNK法的结果表明,在上述四个方面,治疗组远优于对照组。与传统的开放组相比,腹腔镜切除组没有表现出任何优势。追踪治疗组患者无复发,比较一例手术前后的CT影像,进一步证实了微波消融的可行性。结论:对于大肝血管瘤,腹腔镜微波消融术中的损伤,术后恢复及费用方面优于其他方法,治疗效果肯定,是可行的,值得推广。

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