手术方式对肝移植围术期肝功能影响  

Different Modus Operandi Analysis of Liver Function in Liver Transplantation Perioperation

作　　者：李耀锋[1] 周丁华[2] 万葆东[2] 赵伟[2] 夏启俊[2] 卫冰[2] 

机构地区：[1]辽宁医学院研究生院,辽宁省锦州市在读硕士121001 [2]中国人民解放军二炮总医院普外科,北京市100088

出　　处：《中国全科医学》2007年第23期1947-1950,共4页Chinese General Practice

基　　金：全军医学科学技术研究十一五计划课题项目(06MA034)

摘　　要：目的探讨手术方式对肝移植围术期肝功能的影响。方法根据良恶性病变及手术方式的不同,从我院2004～2007年103例肝移植患者中随机抽取恶性肿瘤组行经典式手术者16例和良性病变组行背驮式手术者18例,比较两组患者围术期的丙氨酸氨基转移酶,总胆红素动态变化规律,以及手术方式对肝功能的影响。结果两组患者术中出血量和输血量间差别有显著性意义(P<0.05),两组手术前后ALT和TBiL变化间差别有显著性意义(P<0.05)。手术方式对术后肝功能有明显影响,背驮式手术较经典式手术对肝功能的影响大,但是在术后恢复上要比经典式手术快。结论手术操作对肝功能是有影响的,应该注意手术方式的选择。Objective To approach Different Modus operandi liver function metergasis regularity in liver transplanta- tion perioperation. Methods We finished 103 patients liver transplantation in 2004 - 2007. According to modus operandi, they were randomly draw and divided classic （ include 16 patients in malignant tumor） and piggyback （ include 18 patients in be- nign lesion） group, we compare liver function metergasis regularity in liver transplantation perioperation. Results Except 9 pa- tients pulmonary infection, 9 patients renal inadequacy, 1 patient cerebral infarction; Others patients were healed without graft nonfunction, biliary tract complication, hepatic artery embolism, stricture, acute excluded, and so on abnomal occurrence. Different Modus operandi have obvious statistics effect on liver function after operation, but piggyback modus operandi have more obvious statistics effect on liver function than Classic in operation, but after operation piggyback modus operandi recovery is faster than Classic. Conclusion Changes of liver function is regularity in liver transplantation perioperation period. Accoding to regu- larity, we may judge all kinds of influence factors and avoid to puncture liver biopsy repeatedly.

关 键 词：手术期间 肝移植 肝功能试验 

分 类 号：R657.3[医药卫生—外科学]