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肝脏脂肪变性对肝切除术后并发症的影响
引用本文:黄安中,邱双健,王晓颖,樊嘉,周俭,蔡明琰,高强,居旻杰.肝脏脂肪变性对肝切除术后并发症的影响[J].中国临床医学,2009,16(5):736-738.
作者姓名:黄安中  邱双健  王晓颖  樊嘉  周俭  蔡明琰  高强  居旻杰
作者单位:1. 复旦大学附属金山医院普外科
2. 复旦大学附属中山医院肝外科,上海,200032
摘    要:目的:探讨肝脏脂肪变性对肝脏切除手术后并发症的影响。方法:回顾总结270例肝癌肝切除患者的临床及病理资料,对其相关指标等进行统计学分析。结果:270例患者有60例伴有肝脏脂肪变性,其中轻度脂肪变性35例,中重度脂肪变性25例。脂肪变性组年龄高于对照组(P〈0.05),肥胖患者比例也明显较高(P〈0.01),体质量指数明显高于对照组患者(P〈0.01),且术后前白蛋白降低幅度高于对照组(P〈0.05)。各组间术后并发症总发生率无统计学意义,但中重度脂肪变性组术后需临床治疗的并发症发生率高于对照组(P〈0.05)。结论:肝脏脂肪变性是导致肝切除术后需要临床治疗并发症的独立危险因素。

关 键 词:肝脏  脂肪变性  肝切除术  并发症

The Impact of Liver Steatosis on the Postoperative Complications of Hepatic Resection
HUANG Anzhong,QIU Shuangjian,WANG Xiaoying,FAN Jia,ZHOU Jian,CAI Mingyan,GAO Qiang,JU Mingjie.The Impact of Liver Steatosis on the Postoperative Complications of Hepatic Resection[J].Chinese Journal Of Clinical Medicine,2009,16(5):736-738.
Authors:HUANG Anzhong  QIU Shuangjian  WANG Xiaoying  FAN Jia  ZHOU Jian  CAI Mingyan  GAO Qiang  JU Mingjie
Institution:HUANG Anzhong QIU Shuangjian WANG Xiaoying FAN Jia ZHOU Jian CAI Mingyan GAO Qiang JU Mingjie Liver Cancer Institute,Fudan University,Shanghai 200032,China
Abstract:Objective:To assess the impact of liver steatosis on postoperative complications of hepatic resection. Methods: We retrospectively analyzed these clinical courses of 270 patients. Results: Hepatic steatosis was noted in 60 patients. Mild and moderate/severe steatosis were present in 35 and 25 patients,respectively. The age of steatosis-positive group was older than that of steatosis-negative group (P<0.05). The weight and the body mass index (BMI) were higher in steatosis-positive group than those in contro...
Keywords:Liver  Steatosis  Hepatectomy  Complications  
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