首页|CT联合常规超声引导微波消融术治疗肝血管瘤患者的效果

CT联合常规超声引导微波消融术治疗肝血管瘤患者的效果

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目的:观察CT联合常规超声引导微波消融术治疗肝血管瘤患者的效果.方法:选取 2021 年 7 月至 2023 年 7 月该院收治的 80 例肝血管瘤患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各 40 例.对照组采用常规超声引导微波消融术治疗,观察组在对照组基础上联合CT检查,比较两组消融指标水平、治疗前后肝功能指标[丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、总胆红素(TBIL)]水平、术后 1 个月并发症发生率和术后随访 6 个月的复发率.结果:观察组消融能量低于对照组,消融时间短于对照组,消融点数少于对照组,完全消融率高于对照组,差异均有统计学意义(P<0.05);术后 7 d,两组ALT、AST和TBIL水平均低于术前,但组间比较,差异无统计学意义(P>0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);术后随访 6 个月,两组均无复发.结论:CT联合常规超声引导微波消融术治疗肝血管瘤患者可改善消融指标水平,效果优于单纯常规超声引导微波消融术治疗.
Effects of CT combined with conventional ultrasound-guided microwave ablation in treatment of patients with hepatic hemangioma
Objective:To observe effects of CT combined with conventional ultrasound-guided microwave ablation in treatment of patients with hepatic hemangioma.Methods:A prospective study was conducted on 80 patients with hepatic hemangioma admitted to the hospital from July 2021 to July 2023.According to the random number table method,they were divided into observation group and control group,40 cases in each group.The control group was treated with conventional ultrasound-guided microwave ablation,while the observation group was combined with CT examination on the basis of that of the control group.The levels of ablation indexes and liver function indexes[alanine aminotransferase(ALT),aspartate aminotransferase(AST),total bilirubin(TBIL)]before and after the treatment,the incidence of complications 1 month after the surgery,and the recurrence rate 6 months after the surgery were compared between the two groups.Results:The ablation energy of the observation group was less than that of the control group,the ablation time was shorter than that of the control group,the number of ablation points was less than that of the control group,the complete ablation rate was higher than that of the control group,and the differences were statistically significant(P<0.05).7 days after the surgery,the levels of ALT,AST,and TBIL in both groups were lower than before the surgery,but there was no statistically significant difference between the groups(P>0.05).After 6 months of follow-up,there was no recurrence in both groups.Conclusions:CT combined with conventional ultrasound-guided microwave ablation in the treatment of the patients with hepatic hemangioma can improve the levels of ablation indexes.Moreover,it is superior to single conventional ultrasound guided microwave ablation.

Hepatic hemangiomaUltrasound-guided microwave ablationCT examinationLiver functionRecurrence

林伟奇

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建瓯市总医院外二科,福建 南平 353100

肝血管瘤 超声引导微波消融术 CT检查 肝功能 复发

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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