肝脏手术不同阻断方法对患者术后肝功能恢复情况的影响

回顾分析我院2005年至2010年用不同肝血量阻断方法行原发性肝癌手术治疗110例患者的临床资料。与半肝阻断（22例）和全肝蒂阻断组（54例）比较，区域阻断组（34例）术后肝功能恢复情况最好，术后第1天的ALT（311±80）U／L、总胆红素（TB）（22．2±8．3）μmoL/L，明显低于全肝蒂阻断组的（874±299）U／L和（42．9±19．1）μmol/L（均P〈0．05），术后第7天的AIX（58±17）U／L、TB（11．3±3．1）μmol/L，也好于仝肝蒂阻断组IALT（108±52）U／L，TB（14．6±9．2）μmol／L]（P〈0．05，〉0．05）。区域阻断血供切肝术可有效减少患者术中肝脏的损伤。

Methods of hepatic vascular exclusion on recovery of postoperative liver function in patients undergoing hepatectomy

One hundred and ten patients with primary hepatocellular carcinoma underwent hepatectomy from 2005 to 2010. Different methods of hepatic exclusion were applied in the surgery, including 54 patients with total hepatic vascular exclusion, 22 with halt＇ hepatic vascular exclusion and 34 with regional hepatic vascular exelusion. The recovery of postoperative liver function was retrospectively analyzed. The results showed that the postoperative liver flmction of regional hepatic vascular exclusion [ ALT （ 311± 80 ） U/L, total bilirubin （ TB ） （ 22. 2 ± 8.3 ） txmol/L at 1 st （lay and ALT （ 58± 17 ） U/L, TB （ 11.3±3. 1 ） μmol/l, at 7th dayl was better than that of total hepatic vascular exclusion [ ALT（874 ± 299）U/L, TB （42.9± 19.1） μmol/L at 1st day （P〈0.05） and ALT （108 ±52）U/L, TB （14.6± 9.2） μmol/L at 7th day] （ P 〈 0. 05, 〉 0. 05 ）, indicating that regional hepatic vascular exclusion can effectively reduce hepatic injry during the operation and promote recovery of liver function alter operation.