严重肝外伤肝脏规则性和非规则性切除方法的比较

目的　评价非规则性肝切除治疗严重肝外伤的疗效。方法　回顾性总结 4 2例施行肝切除术的严重肝外伤患者的临床资料 ,其中肝外伤Ⅲ级 11例 ;Ⅳ级 2 6例 ,Ⅴ级 5例。行非规则性肝切除 2 8例 ,规则性肝切除 14例。结果　死亡 8例、死亡率 19% ,14例术后发生并发症。非规则性肝切除死亡率明显低于规则性肝切除 (P <0 0 5 ) ,2种术式间并发症发生率无显著差异 (P >0 0 5 )。结论　非规则性肝切除操作简单 ,失血少 ,为治疗严重肝外伤的有效措施 ,其效果优于规则性肝切除术

Application of Regular and Irregular Resection of Liver in Severe Hepatic Trauma

Objective To assess the curative effect of irregular resection of liver to treat severe hepatic trauma. Methods The clinical data of 42 cases of severe hepatic trauma underwent hepatic resection were analyzed retrospectively, among them there were 11 cases of III grade hepatic trauma, 26 cases of IV grade hepatic and 5 cases of V grade. There were 28 cases received regular resection and 14 cases received irregular resection of liver. Results There were 8 cases dead with mortality of 19%. The complications were happened in 14 cases after operation. The mortality was obviously lower in irregular resection group than that in regular resection group (P<0.05). There was no significant difference between two groups in incidence of complication (P>0.05). Conclusion The irregular resection of liver might be simple in performance with less blood lose and more effective to treat severe hepatic trauma than regular resection method.