摘要
目的探讨损伤控制性手术在严重肝脏外伤救治中的应用价值。方法回顾性分析我院2000年1月到2011年11月间45例严重肝脏外伤手术病例,其中按AAST分级Ⅲ级15例,Ⅳ级21例,Ⅴ级9例;合并其他器官损伤38例;行损伤控制性肝脏手术19例,一期确定性手术26例,对比分析损伤控制性手术与一期确定性手术在住院时间,并发症发生率,死亡率等指标的差异。结果住院时间和术后并发症发生率两组差异无统计学意义(P>0.05),而损伤控制性手术组的死亡率较一期确定性手术组明显降低,差异有统计学意义(P<0.05)。结论严重肝脏外伤治疗选择损伤控制性手术,能有效改善患者预后。
Objective To explore the application value of damage control surgery in patients with severe liver trauma. Method Fourty-five patients with severe hepatic trauma in our hospital, from January 2000 to November 2011, were analyzed retrospectively. According to AAST grade, there were 15 cases in grade Ⅲ, 21 cases in grade Ⅳ, 9 cases in grade Ⅴ; there were 38 cases combined with the other organ trauma ; 19 of 45 cases were operated with damage control surgery, 26 cases were given deterministic operation. The hospital stay, incidence of complications, mortality rate and so on were compared between damage control surgery and a deterministic operation. Results The mortality in damage control surgery group reduced significantly compared with the deterministic operation group （P〈0.05）. But there were no difference in hospital stay and incidence of complications between two groups （P〉0.05）. Conclusion The damage control surgery can improve effectively the prognosis in patients with the severe liver trauma.
出处
《肝胆胰外科杂志》
CAS
2012年第4期275-277,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
损伤控制性手术
肝脏外伤
治疗效果
damage control surgery
liver trauma
therapeutic efficacy
