Clinical application of microwave ablation in treatment of severe traumatic liver rupture
10.11659/jjssx.07E017001
- VernacularTitle:微波消融辅助治疗严重外伤性肝破裂的临床应用
- Author:
ming Ji WANG
1
;
mu Hong LONG
;
feng Xian CHEN
Author Information
1. 重庆市涪陵中心医院肝胆外科
- Keywords:
microwave ablation;
liver rupture;
traumatic;
adjuvant therapy
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(12):886-889
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical application value of microwave ablation assistant therapy in severe traumatic liver rup -ture.Methods The clinical data of 42 patients with severe traumatic liver rupture treated by microwave ablation in Fuling central hospital from October 2012 to June 2016 were retrospectively analyzed .The treatment effect ,operation time ,intraoperative blood loss and postoperative complications were observed .Results Among the 42 patients,simple microwave ablation hemostasis was performed in 11 cases,microwave ablation hemostasis and deep mattress suture in 13 cases and microwave ablation hemostasis debridement plus partial hepatectomy in 18 ca-ses.Forty cases were cured .During perioperative period ,3 cases of bile leakage occurred ,massive ascites was found in 2 cases,massive pleu-ral effusion was found in 4 cases,incision infection was found in 2 cases,transient mild hemoglobinuria occurred in 3 cases.After treatment, the patients recovered to normal without postoperative bleeding ,gastrointestinal leakage ,liver failure or other complications .During the follow-up of at least 2 months,massive pleural effusion occurred in 3 cases,liver abscess in 2 cases,no deaths more.Conclusion Microwave abla-tion assisted treatment of severe traumatic liver rupture is a relatively safe and effective method ,it can reduce operation time and intraoperative bleeding and be used in clinical practice .
