目的：研究腹腔镜下微波消融治疗有临床症状的、直径<10 cm 肝血管瘤的临床疗效。方法：收集2011 年1 月—2014 年1 月在华中科技大学附属同济医院住院治疗的145 例肝血管瘤患者资料，其中腹腔镜下微波消融58 例（腔镜消融组），手术切除87 例（手术切除组）。分析两组手术及随访结果，评估治疗效果。结果：两组术前一般资料具有可比性。腔镜消融组在手术时间、术中出血量、输血例数、术后并发症、术后住院时间等方面有明显优势（均P<0.05），症状消失情况与手术切除组相当。随访所有患者，病灶均无复发。结论：对有症状、直径<10 cm 的肝血管瘤采用腹腔镜下微波消融可以获得肯定效果，且具有安全、微创、并发症少等优点。
Clinical analysis of laparoscopic microwave ablation for hepatic hemangioma
Objective: To assess the clinical efficacy of laparoscopic microwave ablation for symptomatic hepatic hemangioma less than 10 cm in diameter. Methods: The clinical data of 145 patients with hepatic hemangioma admitted to Tongji Hospital of Huazhong University of Science and Technology from January 2011 to January 2014 were analyzed. Of the patients, 58 patients underwent laparoscopic microwave ablation (laparoscopic microwave ablation group), while the other 87 patients underwent surgical resection (surgical resection group). The short-term and long-term outcomes of the two methods of treatment for hepatic hemangioma were evaluated. Results: The preoperative data of the two groups of patients were comparable. In laparoscopic microwave ablation group, the variables that included operative time, intraoperative blood loss, number of cases requiring blood transfusion, incidence of postoperative complications, and length of postoperative hospital stay were all superior to those in surgical resection group (all P<0.05), while the symptom- eliminating efficacy was similar to that in surgical resection group. All patients were followed up, and no recurrence was noted. Conclusion: Laparoscopic microwave ablation has proven efficacy in treatment of symptomatic hepatic hemangioma with diameter less than 10 cm, with advantages of being safe, minimal invasiveness, and less complications.