| 肝癌肝切除术后并发胸腔积液影响因素临床分析 |
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| 引用本文： | 何群鹏,冯贤松.肝癌肝切除术后并发胸腔积液影响因素临床分析[J].腹部外科,2008,21(5):281-282. |
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| 作者姓名： | 何群鹏 冯贤松 |
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| 作者单位： | 南京军区南京总医院肾脏病研究所血液净化中心;华中科技大学同济医学院附属协和医院普外科,武汉,430022 |
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| 摘 要： | 目的分析肝癌肝切除术后胸腔积液的发生率及其影响因素，探讨防治肝切除术后并发胸腔积液的可能措施，方法回顾性分析我院2002年1月～2007年7月间行肝切除术的226例肝癌的临床资料。运用x2检验分析其年龄、性别、病理类型、术前肝功能分级、肿瘤直径、肿瘤部位、手术时间、失血量、肝门阻断时间、切除方式、术后腹水量与术后胸腔积液发生率的关系。结果肝癌肝切除术后胸腔积液发生率为23．01％。从X2检验的结果可见：在α=0．05水平上，术后并发胸腔积液的主要影响因素为：肿瘤部位、手术时间、术中失血量、肝门阻断时间、肝切除术式、术后腹水量（P〈0．01）。结论严格掌握手术适应证，加强术前及术后护肝治疗；术中不盲目扩大切除范围，尽可能在较短的时间内完成肝癌的切除；尽量缩短肝门阻断时间，可以减少术后胸腔积液的发生。
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| 关 键 词： | 肝肿瘤 肝切除术 胸腔积液 |
Factors related to pleural effusion following hepatectomy for liver cancer |
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| HE Qun-peng,FENG Xian-song.Factors related to pleural effusion following hepatectomy for liver cancer[J].Journal of Abdominal Surgery,2008,21(5):281-282. |
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| Authors: | HE Qun-peng FENG Xian-song |
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| Institution: | HE Qun-peng,FENG Xian-song.Department of General Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430022,ChinaCorresponding author:FENG Xian-song |
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| Abstract: | Objective To study the incidence and risk factors related to pleural effusion following hepatectomy for liver cancer and investigate the methods to evaluate these factors.Methods Two hundred and twenty-six cases admitted on our hospital from Jan.2002 to July 2007 are retrospectively analyzed.The factors related to postoperative pleural effusion were identified by Chi-square test with SPSS 13.0.Results The incidence of postoperative pleural effusions following hepatectomy was 23.01%.Univariate analysis showe... |
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| Keywords: | Liver neoplasms Hepatectomy Pleural effusion |
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