肝脏手术术前安全性评估的临床研究  

Clinical study of preoperative safety assessment for liver surgery

作　　者：王峻峰[1] 莫一我[1] 孙志为[1] 王彦坤[1] 金焰[1] 王军[1] 王晓云[1] 张新俊[1] 杨超[1] 

机构地区：[1]云南省第一人民医院肝胆外科,云南昆明650000

出　　处：《云南医药》2013年第3期209-214,共6页Medicine and Pharmacy of Yunnan

基　　金：云南省卫生科技计划项目基金(2010NS005)

摘　　要：目的探讨肝脏肿瘤术前肝功能评价体系的ICG半对数表法,但对中国肝脏肿瘤外科临床是否有指导意义。方法 60例肝切除术患者,按有无合并肝硬化分组,手术前分别进行双重方法进行手术前评估。结果肝硬化组术后肝功能良好组33例,占71.7%,肝功能代偿不全组分别为13例,占28.3%,手术相关的病死率2.2%。无肝硬化组术后肝功能良好组12例,占85.7%,肝功能代偿不全组分别为2例,占14.3%。术后肝功能代偿不全组的比例、手术相关的病死率,和国外学者报道的肝肿瘤患者行肝部分切除术后出现的术后并发症比例、手术相关的病死率比较,基本一致。结论 ICG半对数表来评估肝脏手术的安全性、可行性,在临床上是可行的,有一定的推广价值。Objective To investigate the liver tumor preoperative liver function evaluation system ICG semi-logarithmic table method for guidance of surgery of liver tumors.Methods 60 liver resection patients were grouped according to whether cirrhosis were complicated in pre-operative assessment prior to surgery.In liver cirrhosis group,liver function were good postoperatively in 33 cases(71.7%),liver function decompensation were in 13 cases(28.3%).The surgery-related mortality were 2.2%.In group without cirrhosis,liver function were good in 12 patients(85.7%),liver function decompensation were in 2 cases(14.3%) postoperatively.Conclusion ICG semi-logarithmic tables for assessing the safety and feasibility of liver surgery are feasible in clinical practice,there are some promotional value.

关 键 词：肝脏手术 肝脏储备功能 手术安全性 

分 类 号：R657.3[医药卫生—外科学]