摘要
目的探讨区域性肝血流阻断在解剖性肝切除术中的应用价值。方法回顾性分析60例解剖性肝切除术患者的临床资料,行区域性肝血流阻断32例(A组)、全肝入肝血流阻断28例(B组),比较两组患者的术中肝血流阻断时间、术中出血量以及术后肝功能情况。结果 A组肝血流阻断时间明显长于B组(P<0.05),A组术中平均出血量明显少于B组(P<0.05)。A组术后第7天血清丙氨酸转氨酶(ALT)水平明显低于B组(P<0.05)。A组术后第3天、第7天血清总胆红素(TBIL)水平均明显低于B组(P<0.05)。结论解剖性肝切除时采用区域性肝血流阻断技术能显著减少肝切除过程中的出血量并减轻肝功能损害,是一种合理有效的肝血流阻断方法。
Objective To investigate the applying value of regional hepatic vascular exclusion in the anatomical hepatectomy. Methods The clinical data of 60 patients for anatomical hepatectomy were retrospectively analyzed,32 patients of them received hepatectomy with regional hepatic vascular exclusion （ group A）. The other 28 patients received hepateetomy with total hepatic vascular exclusion （group B）. The time of hepatic vascular exclusion, the intraoperative blood loss and postoperative liver function were compared between the two groups. Results The time of hepatic vascular exclusion in group A was significantly longer than that in group B（P 〈0.05） ,while the intraoperative blood loss in group A were significantly less than that in group B（P 〈0.05）. The levels of serum alanine transaminase （ALT） of 7th day of postoperation in Group A were significantly lower than those in group B （P 〈 0.05 ）, and the levels of serum total bilirubin （TBIL） of 3rd and 7th day of postoperation in Group A were signifi- cantly lower than those in group B （P 〈 0.05）. Conclusion The technique of regional hepatic vascular exclusion for anatomical hepatectomy was one of the a feasible and effective hepatic blood occlusion methods, it can reduce intraoperative blood loss and relieve liver damage significantly.
出处
《中华全科医学》
2011年第3期356-358,共3页
Chinese Journal of General Practice
关键词
解剖性肝切除术
区域性肝血流阻断
Anatomical hepatectomy
Regional hepatic vascular exclusion
