摘要
目的探讨肝硬化肿瘤患者行肝切除术时不同的肝供血阻断方法对肝功能的影响。方法对62例原发性肝癌(HCC)患者随机分为观察组进行半肝血供阻断术(n=32)和对照组Pringle法阻断血流切肝术(n=30);比较两组术前、后肝功能的变化。结果术后1、5d,半肝血供阻断术组的天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)明显低于Pringle法阻断血流切肝术组,p<0.05;术后5d,半肝血供阻断术组的总胆红素(TBIL)明显低于Pringle法阻断血流切肝术组,p<0.05。结论半肝血供阻断术对肝硬化肿瘤患者在行肝切除术后肝功能影响较小。
Objective To explore the inflvence of different devascularization for liver function in hepatectomy of liver tumor combined cirrhosis. Methods 62 patients with HCC were separated into two groups randomly, the observing group（ n = 32） with devascularization of half of liver, and the control group（ n = 30） with Pringle＇ s devasularization. To compare the change of liver function between two groups before and after operation. Results The level of AST and ALT of the observing group was lower than that of the control group after operation for one and five days（p 〈 0. 05）. The level of TBIL of the observing group was lower than that of the control group after operation for five days （p 〈 0.05）. Conclusion The devasularizative method in the observing group has a little influence for liver function of patients with cirrhostic liver cancer after hepatectomy.
出处
《现代医院》
2006年第8期20-21,共2页
Modern Hospitals
关键词
肝硬化
肝肿瘤
肝血供阻断
Cirrhosis
Liver tumor
Liver devascularization
