| 肝提带配合半肝血流阻断在肝切除术中的应用 |
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| 引用本文： | 梁刚,何自力.肝提带配合半肝血流阻断在肝切除术中的应用[J].中国现代手术学杂志,2011,15(2):86-88. |
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| 作者姓名： | 梁刚 何自力 |
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| 作者单位： | 湖南省人民医院肝胆外科,长沙,410005 |
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| 摘 要： | 目的探讨肝提带配合半肝血流阻断在肝切除手术中的价值。方法回顾64例肝癌肝切除术患者的临床资料,比较行肝提带配合半肝血流阻断（实验组n=24）和半肝血流阻断法（对照组,n=40）在肝切除手术中的应用价值。结果对照组平均手术时间（205.1±55.4）min,实验组平均手术时间（214.3±54.6）min,两者之间无显著性差异（P〉0.05）;对照组平均失血总量（497.3±63.0）ml,无需输血治疗;实验组平均失血总量（203.0±39.4）ml,无需输血治疗;两者之间存在统计学差异（P〈0.05）;术后第1、3 d实验组ALT浓度低于对照组,分别为（232.2±109.2）U/L vs.（434.8±215.7）U/L和（124.8±67.8）U/L vs.（241.6±132.6）U/L（P〈0.05）,术后第1 d实验组TBIL低于对照组分别为（45.2±17.8）μmol/L vs.（55.7±34.1）μmol/L（P〈0.05）。结论肝提带配合半肝血流阻断在肝切除术中是安全可行的,能显著减少术中出血,缩短手术时间,有利于降低手术风险和术后恢复。
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| 关 键 词： | 肝血流阻断 肝提带 肝切除术 |
Clinical Applications of Hemihepatic Inflow Interruption Combined with Liver Hanging Maneuver for Hepatectomy |
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| LIANG Gang,HE Zi-li.Clinical Applications of Hemihepatic Inflow Interruption Combined with Liver Hanging Maneuver for Hepatectomy[J].Chinese Journal of Modern Operative Surgery,2011,15(2):86-88. |
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| Authors: | LIANG Gang HE Zi-li |
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| Institution: | LIANG Gang,HE Zi-li(Department of Hepatobiliary Surgery,Hunan Provincial People's Hospital,Changsha 410005,Hunan,China) |
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| Abstract: | Objective To assess the value of hepatectomy using the hemihepatic inflow interruption combined with liver hanging maneuver.Methods Clinical data of 64 patients with hepatocellular carcinoma were reviewed.Hepatectomy using hemihepatic inflow interruption combined with liver hanging maneuver was performed in 24 cases(experimental group,n=24),while the other 40 cases managed with hepatectomy using the hemihepatic inflow interruption(control group,n=40).Results There was no difference between the experimental ... |
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| Keywords: | hemihepatic vascular occlusion liver hanging maneuver hepatectomy |
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