西宁地区常温下肝门阻断切肝术的临床研究  

Clinical Study of Liver Lobectomy with Obstruction of Liver Blood Flow at Usual Temperature in Xining

作　　者：王晓武[1] 杨守仁[1] 窦拉加[1] 张成武[1] 张建国[1] 燕速[1] 

机构地区：[1]青海大学附属医院,810001

出　　处：《高原医学杂志》2006年第1期22-25,共4页Journal of High Altitude Medicine

摘　　要：目的研究西宁地区常温下肝切除术中阻断入肝血流方式、阻断时间对“安全切肝”,尤其是肝癌合并有乙肝、肝硬化者的临床意义。方法选择临床和病理确诊的肝脏肿瘤及肝包虫病人共10例行手术治疗。结果本组10例肝脏手术均获成功(1例术后7天因肝衰死亡),根据病例的不同情况采用了三种肝血流阻断方法。结论采取常温下阻断肝血流的方法,减少肝脏切除术中大出血,同时尽可能减少入肝血流阻断的时间以减少和避免术后发生衰竭,为“安全切肝”提供了有力的技术保障。Objective. To determine the clinical effects and their significance of obstruction of liver blood flow including obstructed time in liver lobectomy at usual temperature in liver tumors, specially in liver carcinoma. Methods. 10 patients identified with clinical and pathological liver tumors and hepatic echinococcosis were performed the surgical liver lobectomy with obstruction of liver blood flow at usual temperature in xining area through 3 ways of obstruction of liver blood flow entering liver. Results. The operations in the 10 cases were successful（1 case died because of liver failure after operation）. Conclusions： In liver lobectomy at usual temperature, obstruction of liver blood flow can decrease the great hemorrhage; and if the obstruction time is cut the occurrence of liver failure after operation may be prevent and may provide technical guarantee for the ＂safe hepatectomy＂.

关 键 词：常温下 肝切除术 阻断入肝血流方式 阻断时间 

分 类 号：R657.3[医药卫生—外科学] R339.5[医药卫生—临床医学]