腹腔镜下血管瘤剥除术与解剖性肝切除术治疗巨大肝血管瘤的疗效比较

肝脏 ›› 2025, Vol. 30 ›› Issue (8): 1101-1103.

腹腔镜下血管瘤剥除术与解剖性肝切除术治疗巨大肝血管瘤的疗效比较

陈康, 马常欢, 周晓, 杨晏

213000 江苏常州市妇幼保健院肝胆外科

收稿日期:2025-01-05 发布日期:2025-09-19
通讯作者: 马常欢,Email:mchres@163.com
基金资助:
常州市卫健委青年人才科技项目(QN202125)

Observation of the efficacy of laparoscopic-assisted hemangioma debulking in the treatment of giant hepatic hemangioma and comparison with anatomical hepatectomy

CHEN Kang, MA Chang-huan, ZHOU Xiao, YANG Yan

Department of Hepatobiliary Surgery, Changzhou Maternal and Child Health Hospital, Changzhou 213000, China

Received:2025-01-05 Published:2025-09-19
Contact: MA Chang-huan, Email: mchres@163.com

摘要/Abstract

摘要： 目的分析腹腔镜下血管瘤剥除术与解剖性肝切除术治疗巨大肝血管瘤的疗效。方法回顾性分析2020年1月至2024年12月我院收治的巨大肝血管瘤患者60例,依据治疗方式分为对照组(n=30)与观察组(n=30)。比较两组疗效指标、肝功能、生活质量和并发症。结果观察组手术时间、出血量及腹腔引流量为(162.35±12.15)min、(504.23±15.14)mL及(338.12±11.56)mL,与对照组[(146.02±11.47)min、(375.12±12.36)mL及(227.45±10.15)mL]比,差异具有统计学意义(P<0.05)。观察组术后2个月、3个月胃肠道生活质量指数(GIQLI)评分为(116.54±3.32)分、(125.65±1.57)分,分别显著高于对照组[(102.35±2.24)分、(112.23±1.26)分,P<0.05]。结论血管瘤剥除术治疗巨大肝血管瘤具有较高的疗效,可降低对肝功能的损害,提高生活质量,同时安全性良好。

关键词: 腹腔镜辅助, 血管瘤剥除术, 解剖性肝切除术, 巨大肝血管瘤

Abstract: Objective To analyze the efficacy of laparoscopic-assisted hemangioma debulking and anatomical hepatectomy in the treatment of giant hepatic hemangioma. Methods Sixty patients with giant hepatic hemangioma from January 2020 to December 2024 in Changzhou Maternal and Child Health Hospital were retrospectively collected and divided into control group (30 cases) and observation group (30 cases) according to treatment methods. The curative effect index, liver function, quality of life and complications were compared between the two groups. Results The observation group had a surgical time, blood loss, and abdominal drainage volume of (162.35±12.15) min, (504.23±15.14) mL, and (338.12±11.56) mL, respectively, which were significantly different from the control group [(146.02±11.47) min, (375.12±12.36) mL, and (227.45±10.15) mL, P<0.05]. At 2 months and 3 months post-surgery, the gastrointestinal quality of life index (GIQLI) scores of the observation group were (116.54±3.32) and (125.65±1.57), respectively, significantly higher than those of the control group [(102.35±2.24) and (112.23±1.26), P<0.05]. Conclusion Hemangioma stripping has a high curative effect on giant hepatic hemangioma, which can reduce the damage to liver function, improve the quality of life and have good safety.

Key words: Laparoscopic assistance, Hemangioma debulking, Anatomic hepatectomy, Giant hepatic hemangioma

陈康, 马常欢, 周晓, 杨晏. 腹腔镜下血管瘤剥除术与解剖性肝切除术治疗巨大肝血管瘤的疗效比较[J]. 肝脏, 2025, 30(8): 1101-1103.

CHEN Kang, MA Chang-huan, ZHOU Xiao, YANG Yan. Observation of the efficacy of laparoscopic-assisted hemangioma debulking in the treatment of giant hepatic hemangioma and comparison with anatomical hepatectomy[J]. Chinese Hepatolgy, 2025, 30(8): 1101-1103.

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