射频消融治疗巨大肝血管瘤的并发症相关研究进展

Research Progress on the Complications of Radiofrequency Ablation in the Treatment of Giant Hepatic Hemangiomas

摘要: 巨大肝血管瘤作为一类临床上比较少见的肝血管瘤，因为其可以发生在肝组织内任何位置，可能发生在深层位置和复杂血供，肝切除术曾经是扩大症状性肝血管瘤的首选治疗方法。虽然手术切除可以完全切除肿瘤，但手术需要重大的腹部手术，住院时间相对较长和较高的发病率和死亡率。射频消融术因其精准微创的优势，逐渐应用于肝巨大血管瘤的手术治疗中，但现阶段对于巨大肝血管瘤的射频治疗是否合适并未明确，巨大肝血管瘤首选手术治疗，无法耐受手术或手术有难度风险较高时可用分次射频消融替代。射频消融术术中仍然会有相关并发症，笔者通过统计各类并发症的发生率，有利于未来在术后治疗肝巨大血管瘤中对并发症进行临床预防。

Abstract: As a type of hepatic hemangioma that is relatively rare in clinical practice, hepatic hemangioma used to be the preferred treatment for enlarged symptomatic hepatic hemangioma because it can occur anywhere in the liver tissue, may occur in deep locations and complex blood supply. Although surgical excision can completely remove the tumor, surgery requires major abdominal surgery, a relatively long hospital stay, and high morbidity and mortality. Radiofrequency ablation is gradual-ly applied to the surgical treatment of hepatic hemangioma due to its precise and minimally inva-sive advantages, but it is not clear whether the radiofrequency treatment for hepatic hemangioma is suitable at this stage. There are still related complications during radiofrequency ablation, and the incidence of various complications is helpful for the clinical prevention of complications in the postoperative treatment of hepatic giant hemangioma in the future.