低中心静脉压肝左外叶切除术与正常中心静脉压肝左外叶切除术的临床效果比较

目的探讨低中心静脉压技术用于肝切除手术的可行性和有效性。方法自我院2009年1月—2012年1月收治的肝左外叶良恶性占位者中,筛选出符合条件的56例。按照随机对照原则分成两组,分别行低中心静脉压肝左外叶切除术（实验组）及正常中心静脉压肝左外叶切除术（对照组）。比较两组切肝手术时间、切肝出血量、手术前后肝肾功能的变化。结果两组切肝手术时间、切肝出血量比较差异有统计学意义（P〈0.01）,两组之间手术前后肝肾功能的变化比较差异无统计学意义（P〉0.05）。结论采用低中心静脉压肝叶切除术可行,临床效果确切。

Compare the clinical effects of low central venous pressure left lateral segment liver resection and the normal central venous pressure left lateral segment liver resection

Objective To explore the low central venous pressure technology for the feasibility and effectiveness of liver resection.Methods From January 2009 to January 2012,our hospital had treated the left lateral liver benign and malignant space-occupying cases,screened meet the conditions 56 cases.In a random contrast principle,they were fractionated two groups,used the low central venous pressure left lateral segment liver resection（experimental group） and the normal central venous pressure left lateral segment liver resection（control group） respectively.Compared the operation time of liver resection,the amount of liver resection bleeding,the changes in liver function before and after surgery and the changes in renal function before and after surgery.Results The operation time of liver resection,the amount of liver resection bleeding what compared between the two groups have statistical significant difference（P0.01）.The changes in liver and in renal function before and after surgery what compared between the two groups haven＇t statistical significant difference（P0.05）.Conclusion It is feasible that use the low central venous pressure technology of liver resection.The clinical effect is certain.