<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">MRP</journal-id><journal-title-group><journal-title>Medical Research and Practice</journal-title></journal-title-group><issn>2993-9690</issn><eissn>2993-9704</eissn><publisher><publisher-name>Art and Design</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.61369/MRP.2025090005</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>腹腔镜微波消融在肝血管瘤的治疗进展</title><url>https://artdesignp.com/journal/MRP/3/9/10.61369/MRP.2025090005</url><author>孟涛方,王晟,陈晨,晋云,邓世康</author><pub-date pub-type="publication-year"><year>2025</year></pub-date><volume>3</volume><issue>9</issue><history><date date-type="pub"><published-time>2025-09-20</published-time></date></history><abstract>腹腔镜微波消融因手术时间更短、术中出血量减少以及住院恢复时间降低、完全消融率较高且复发率较低等特点在肝血管瘤治疗中得以体现较大优势，同时保证手术的安全性。近年，腹腔镜微波消融技术逐渐成熟，更为广泛的应用于肝血管瘤的治疗，并取得良好的疗效。本文旨在以腹腔镜微波消融治疗肝血管瘤的研究进展予以综述，以推动微波消融技术发展及为肝血管瘤微波消融治疗方案提供科学依据。</abstract><keywords>微波消融,肝血管瘤,治疗效果,腹腔镜</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1]Belghiti J, Cauchy F, Paradis V,et al. Diagnosis and management of solid benign liver lesions. Nat Rev Gastroenterol Hepatol. 2014;11(12):737-749.[2]Bioulac-Sage P, Laumonier H, Laurent C,et al. Benign and malignant vascular tumors of the liver in adults. Semin Liver Dis. 2008;28(3):302-314.[3]Sadick M, M&amp;uuml;ller-Wille R, Wildgruber M, et al. Vascular Anomalies (Part I): Classification and Diagnostics of Vascular Anomalies. Gef&amp;auml;&amp;szlig;anomalien (Teil I): Klassifikation und Diagnostik von Gef&amp;auml;&amp;szlig;anomalien. Rofo. 2018;190(9):825-835.[4]Kacała A, Dorochowicz M, Matus I, et al. Hepatic Hemangioma: Review of Imaging and Therapeutic Strategies. Medicina (Kaunas). 2024;60(3):449. Published 2024 Mar 8.[5]Aziz H, Brown ZJ, Baghdadi A, et al. A Comprehensive Review of Hepatic Hemangioma Management. J Gastrointest Surg. 2022;26(9):1998-2007. doi:10.1007/s11605-022-05382-1IF: 2.4 Q1[6]Farhat W, Ammar H, Said MA, et al. Surgical management of giant hepatic hemangioma: A 10-year single center experience. Ann Med Surg (Lond). 2021;69:102542. Published 2021 Jul 6.[7]Liu X, Yang Z, Tan H, et al. Giant liver hemangioma with adult Kasabach-Merritt syndrome: Case report and literature review. Medicine (Baltimore). 2017;96(31):e7688.[8]McFarland EG, Mayo-Smith WW, Saini S, et al. Hepatic hemangiomas and malignant tumors: improved differentiation with heavily T2-weighted conventional spin-echo MR imaging. Radiology. 1994;193(1):43-47.[9]Hoekstra LT, Bieze M, Erdogan D, et al. Management of giant liver hemangiomas: an update. Expert Rev Gastroenterol Hepatol. 2013;7(3):263-268.[10]陈孝平,夏锋,李雪松.肝血管瘤诊断和治疗多学科专家共识(2019版)[J].临床肝胆病杂志,2019,35(09):1928-1932.[11]Xie QS, Chen ZX, Zhao YJ, et al. Outcomes of surgery for giant hepatic hemangioma. BMC Surg. 2021;21(1):186. Published 2021 Apr 8.
[12]Dong W, Qiu B, Xu H, et al. Invasive management of symptomatic hepatic hemangioma. Eur J Gastroenterol Hepatol. 2019;31(9):1079-1084.[13]Wu S, Gao R, Yin T, et al. Complications of Radiofrequency Ablation for Hepatic Hemangioma: A Multicenter Retrospective Analysis on 291 Cases. Front Oncol.2021;11:706619. Published 2021 Jul 28.[14]Wang S, Yang M, Yang X, et al. Endothelial pyroptosis underlies systemic inflammatory response following radiofrequency ablation of hepatic hemangiomas. Scand J Clin Lab Invest. 2019;79(8):619-628.[15]Pietrabissa A, Giulianotti P, Campatelli A, et al. Management and follow-up of 78 giant haemangiomas of the liver. Br J Surg. 1996;83(7):915-918.[16] 陈晓云, 赵旭. 肝血管瘤的介入治疗进展及中医探讨[J].中外医学研究,2023,21(04):174-177.[17]Hartley-Blossom Z, Alam M, Stone J,et al. Microwave Ablation in the Liver: An Update[J]. Surg Technol Int. 2020;37:72-78.[18] 中国医师协会外科医师分会肝脏外科医师委员会, 中华肝胆外科杂志编辑委员会. 肝血管瘤热消融治疗专家共识(2021 版)[J].中华肝胆外科杂志,2021,12:881-888.[19] 王瑞官, 郑方, 李为民, 等. 腹腔镜下微波消融治疗特殊肝段大血管瘤或肝巨大血管瘤临床效果观察[J].临床军医杂志,2019,47(12):1287-1289.[20]朱沭,王单,李开艳,等.实时超声引导下经皮微波消融与腹腔镜超声引导下微波消融治疗巨大肝血管瘤的比较[C]//中国超声医学工程学会.中国超声医学工程学会第五届全国介入超声医学学术交流大会论文汇编. 华中科技大学同济医学院附属同济医院超声影像科;,2019:130-131.[21]Chen L, Zhang L, Tian M, et al. Safety and effective of laparoscopic microwave ablation for giant hepatic hemangioma: A retrospective cohort study[J]. Ann Med Surg (Lond).2019 Feb 5;39:29-35.[22] 邵天胤, 余俊, 周洪浩, 等. 腹腔镜肝切除术与腹腔镜微波消融术治疗肝血管瘤的有效性和安全性研究[J].肝胆胰外科杂志,2023,35(11):660-667.[23]Yang G, Xiong Y, Sun J, et al. The efficacy of microwave ablation versus liver resection in the treatment of hepatocellular carcinoma and liver metastases: A systematic review and meta-analysis[J]. Int J Surg. 2020;77:85-93.[24]Torkian P, Li J, Kaufman JA, et al. Effectiveness of Transarterial Embolization in Treatment of Symptomatic Hepatic Hemangiomas: Systematic Review and Metaanalysis[J]. Cardiovasc Intervent Radiol. 2021;44(1):80-91.[25]Zhang HL, Meng HB, Li XL, et al. Laparoscopy-guided percutaneous microwave ablation for symptomatic 12.8 cm hepatic hemangioma with low blood loss and short hospital stay post-operation: A case report and literature review. Clin Hemorheol Microcirc. 2021;77(2):165-171.[26] 陶国清, 许其威, 李海锋. 微波消融与腹腔镜肝叶切除术治疗肝血管瘤患者疗效研究[J].实用肝脏病杂志,2024,27(01):117-120.[27]Liu L, Li N. Feasibility and Advantages of Large Liver Hemangioma Treated with Laparoscopic Microwave Ablation. Hepatogastroenterology[J]. 2014;61(132):1068-1073.[28]Fei L, Hongsong X. Effectiveness of microwave ablation for the treatment of hepatic hemangioma - meta-analysis and meta-regression. Int J Hyperthermia.2023;40(1):2146214.[29] 程晓雪. 经皮超声引导下双针微波消融治疗肝脏血管瘤疗效分析[J].世界复合医学,2021,7(12):52-54+62.[30] 江蜜, 柴楚星, 张树华, 等. 腹腔镜下外科技术结合超声引导消融治疗肝巨大血管瘤: 附300 例报告[J].腹部外科,2021,34(04):276-279.[31] 陈亚峰, 李江斌, 董瑞, 等. 微波消融治疗肝右叶巨大血管瘤的效果[J].临床医学研究与实践,2021,6(28):53-56.</p><pub-id pub-id-type="doi"/></element-citation></ref></ref-list></back></article>
