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区域性肝血流阻断在解剖性肝切除术中的应用
引用本文:吴斌全,刘会春,崔培元,鲁正.区域性肝血流阻断在解剖性肝切除术中的应用[J].实用全科医学,2011,9(3):356-358.
作者姓名:吴斌全  刘会春  崔培元  鲁正
作者单位:安徽省蚌埠医学院第一附属医院肝胆外科;
摘    要:目的探讨区域性肝血流阻断在解剖性肝切除术中的应用价值。方法回顾性分析60例解剖性肝切除术患者的临床资料,行区域性肝血流阻断32例(A组)、全肝入肝血流阻断28例(B组),比较两组患者的术中肝血流阻断时间、术中出血量以及术后肝功能情况。结果 A组肝血流阻断时间明显长于B组(P〈0.05),A组术中平均出血量明显少于B组(P〈0.05)。A组术后第7天血清丙氨酸转氨酶(ALT)水平明显低于B组(P〈0.05)。A组术后第3天、第7天血清总胆红素(TBIL)水平均明显低于B组(P〈0.05)。结论解剖性肝切除时采用区域性肝血流阻断技术能显著减少肝切除过程中的出血量并减轻肝功能损害,是一种合理有效的肝血流阻断方法。

关 键 词:解剖性肝切除术  区域性肝血流阻断

The Application of Regional Hepatic Vascular Exclusion in the Anatomical Hepatectomy
WU Bin-quan,LIU Hui-chun,CUI Pei-yuan,et al..The Application of Regional Hepatic Vascular Exclusion in the Anatomical Hepatectomy[J].Applied Journal Of General Practice,2011,9(3):356-358.
Authors:WU Bin-quan  LIU Hui-chun  CUI Pei-yuan  
Institution:WU Bin-quan,LIU Hui-chun,CUI Pei-yuan,et al.Department of Hepatobiliary Surgery,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,Anhui,China
Abstract:Objective To investigate the applying value of regional hepatic vascular exclusion in the anatomical hepatectomy.Methods The clinical data of 60 patients for anatomical hepatectomy were retrospectively analyzed,32 patients of them received hepatectomy with regional hepatic vascular exclusion(group A).The other 28 patients received hepatectomy with total hepatic vascular exclusion(group B).The time of hepatic vascular exclusion,the intraoperative blood loss and postoperative liver function were compared betw...
Keywords:Anatomical hepatectomy  Regional hepatic vascular exclusion  
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