肝切除术术前肝功能评价的研究进展  

Research Progress of Assessment of Hepatic Function before Hepatectomy

作　　者：杨波[1] 吕军[1] 

机构地区：[1]桂林医学院,广西桂林541000

出　　处：《医学综述》2011年第21期3309-3311,共3页Medical Recapitulate

摘　　要：评价肝切除手术患者的肝功能储备是术前的重点和难点。目前常用的评估方法有Child-Turcotte-Pugh评分、终末期肝病模型评分、肝脏体积测量、去唾液酸糖蛋白受体功能显像技术和吲哚青绿排泄试验等。但是,目前没有一种完善、单一的评估方法可以全面地反映肝脏耐受手术的能力,尽管在这方面全球都在努力地探索。现总结具有代表性的相关文献,介绍各种肝功能评价的方法和优缺点。The preoperative evaluation of the hepatic functional reserve is a difficult and important for hepatectomy.Child-Turcotte-Pugh scoring,model for end-stage liver disease scoring,hepatic volumetry,an imaging technique of asialoglycoprotein receptor and retention of indocyanine green are common measures for assessing the liver function that can be used before hepatectomy.However,there is no impeccable and single method that is capable of assessing the liver function comprehensively,regardless of the great effort being made all over the world.Here is to introduce some typical and most correlated literatures to set forth the advantages and disadvantages of different hepatic function assessment measures.

关 键 词：肝切除术 肝体积测量 风险评估 

分 类 号：R657.3[医药卫生—外科学]