无血切肝术及其肝血流阻断法的相关研究进展  

Correlative Study Progress of Exsanguine Liver Resection and Liver Blood Flow Blockage

作　　者：温时来[1] 饶荣生[2] 

机构地区：[1]南昌大学研究生院医学部,2008级江西南昌330006 [2]江西省肿瘤医院,江西南昌330029

出　　处：《黑龙江医学》2010年第8期581-584,共4页Heilongjiang Medical Journal

摘　　要：现代肝脏外科发展至今,减少术中出血一直是肝脏外科医生追求的目标,迄今已经发展出多种肝脏血流阻断的方法,并应用于临床,大大降低了肝脏手术的出血量。近期曲-饶式无血切肝术的问世是该领域中的一个重大事件。同时,如何避免肝血流阻断后组织缺血再灌注损伤,也成为所有肝脏外科医生所必须面对的问题。因此,如何根据病人不同病情选择最适当的无血切肝术式与掌握最精确的血流阻断安全时限,以谋求在减少出血和降低缺血再灌注损伤之间的最大平衡,就是目前所必须探寻的重大问题。The aim of liver surgeon pursued is decreasing bleeding during operation with the development of liver surgery,and now many liver blood flow blockages are using in clinic to lower the volume of bleeding.The great event of Qu-Rao exsanguine liver resection is happened in this field and meanwhile how to avoid the reperfusive injury after blockage ischemia is becoming the problem that doctor has to face to.The great balance of selection of blockage methods that decrease bleeding and decrease ischemia reperfusion injury based on varied patient and situation should be considered.

关 键 词：曲式肝血流阻断法 曲-饶式无血切肝术 缺血再灌注损伤 肝脏外科 

分 类 号：R656[医药卫生—外科学]