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目的分析腹腔镜肝切除术治疗肝血管瘤的可行性。方法选择2015年8月至2017年2月昌乐县人民医院收治的60例肝血管瘤患者,随机分对照组30例和观察组30例。对照组患者行常规肝切除术治疗,观察组患者行腹腔镜肝切除术治疗。比较2组患者肝血管瘤治疗的总有效率、手术操作时间、出院时间、出血情况和胸腔积液等并发症的发生率。结果观察组患者肝血管瘤治疗的总有效率高于对照组,差异有统计学意义(P<0.05);观察组患者的手术时间、出院时间、出血情况均低于对照组,差异有统计学意义(P<0.05);观察组患者胸腔积液等并发症的发生率优于对照组,差异有统计学意义(P<0.05)。结论腹腔镜肝切除术治疗肝血管瘤的可行性高,可以减少并发症的发生,缩短手术时间和出院时间,减少出血,安全性和可行性高,值得推广。
Objective To analyze the feasibility of laparoscopic hepatectomy in the treatment of hepatic hemangiomas. Methods Sixty patients with hepatic hemangiomas who were admitted to Changle People’s Hospital from August 2015 to February 2017 were randomly divided into control group (30 cases) and observation group (30 cases). Patients in the control group underwent conventional hepatectomy and patients in the observation group underwent laparoscopic liver resection. The total effective rate of liver hemangioma treatment, operation time, discharge time, bleeding and pleural effusion and other complication rates were compared between the two groups. Results The total effective rate of treatment of hepatic hemangioma in observation group was higher than that of control group, the difference was statistically significant (P <0.05); the operation time, discharge time and bleeding in observation group were lower than those in control group (P <0.05). The complication rates of pleural effusion and other complications in the observation group were better than those in the control group (P <0.05). Conclusion The feasibility of laparoscopic hepatectomy for the treatment of hepatic hemangiomas is high and can reduce the incidence of complications, shorten the operation time and discharge time, reduce bleeding, safety and feasibility, it is worth to promote.