Curative-effectanalysis Of Hepatic Hemangioma: Treatment With Operation Resection Or Interventional Embolization

Objective:Through the comparative analysis of clinical curative efficacy of Surgical resection(SR)and Transcatheter arterial embolization(TAE)of liver hemangioma,to formulate more reasonable treatment countermeasures.Methods:Rtrospectively analysize the clinical medical records of 86 patients with hepatic hemangioma from August 2009 to May 2016 in the first affiliated hospital of kunming medical university(Yun da hospital).45 patients performed surgical resection,41 patients management with interventional embolization.Comprehensive analysize literature information published latest,and statistical analysis the gender,age,diameter of hepatic hemangioma,operation time,surgical blood loss,mean length of hospital stay,the total cost of hospital stay,complications,and efficient and so on.Results:86 cases were enrolled in the study,male 21,female 65,the ratio of male to female is 1:3.09.21 patients with single hemangioma and 64 are multiples,average diameter is 8.3±2.9cm,maximum diameter is 20cm.Patients in resection group are 45 cases,male 11,female 34,the ratio of male to female is 1:3.09,age 29?63 years,average age is 42.8±2.9 years,mean operation time is 219.0±58.2 min,mean blood lose is 562.2 ±636.1 ml,mean hospitalization time is 17.3 ±5.6d,average total hospitalization expenses is 34341.3±8093.3yuan,19 cases with complications,13 cases with fever,4 case with pulmonary infection,2 cases with pleural effusion,7 csaes with incision infection,no recurrent cases,no deaths.Patients in interventional embolization group are 41 cases,male 10,female31,the ratio of male to female is 1:3.11,age 28?67years,average age is 44.6 ±8.8 years,mean operation time is 94.7±18.2 min,mean blood lose is 5.712.0 ml,mean hospitalization time is 7.9±2.3d,average total-hospitalization expenses is 16071.5±2610.7 yuan,9 cases with complications,7cases with fever,2 csaes with hematoma at the puncture point,1 case with pulmonary infection,4 of 13 patients curative effect is not obvious,the total effective rate was 82.9%,no death case.For big hemangioma SR and TAE effectiveness were 90.9%and 84.8%respectively.The two groups have significant statistical difference in operation time,blood lose,hospitalization time,total hospitalization expenses and complications(P<0.05),while there is no statistical difference in age and gender(P>0.05).Conclusion:1.We should strictly grasp the surgical indications of hepatic hemangioma in the clinic work.2.Surgical resection and transcatheter arterial embolization all can obtain good curative effect in management large hepatic hemangioma for which diameter is 5-10cm and with surgical indications,while transcatheter arterial embolization have more advantages to surgical resection,it is worth recommended.3.Only implement interventional embolization management often acquire poor curative effect to giant hepatic hemangioma which is more than 10 cm in diameter,It is an excellent choice to operate surgical resection when the tumor narrowed after interventional embolization or just implement operation resection.