半肝血流阻断法在肝肿瘤切除术中的应用  

作　　者：杨忠明[1] 郭志明[1] 余拥新 

机构地区：[1]四川南充市仪陇县人民医院,637600

出　　处：《中国社区医师（医学专业）》2012年第14期65-65,共1页

摘　　要：目的:探讨半肝血流阻断法在肝肿瘤切除术中的临床应用效果。方法:收治肝癌伴有肝硬变患者32例,采用半肝血流阻断法进行肝肿瘤切除。结果:在分离肝门过程中均未损伤胆管或门静脉。整个阻断时间10～17分钟,平均时间12分钟。所有患者在术中的出血量130～750ml,平均500ml。术后4例患者出现右侧胸积水,但均自愈出院。另外所有病例中术中均未出现继发性大出血以及术后均未出现肝功能衰竭。结论:半肝血流阻断下行肝叶切除术是目前临床上最安全、最彻底治疗原发性肝癌的治疗方法。主要是此法可有效减少术中的出血量并保留了健侧的肝血流。除此之外还可延长了术中阻断的时间,进而减轻了术后患者的肝功能损度,且有效降低了术后并发症的发生率。Objective： To study the half liver blocked blood flow method in liver tumor resection of clinical application effect. Methods ： the February 2011 - February 2012 32 cases of liver cancer patients with cirrhosis, liver by half blocked blood flow method for the liver tumor resection. Results： in the separation process were not in liver door injury bile ducts or portal vein. The whole block time for 10 to 17 min, the average time for 12 min. All patients in the amount of blood loss was for 130 -750ml, an average of 500 ml. Postoperative four patients appear right bosom seeper, but are self- healing discharge. Another all cases intraoperative all did not appear secondary massive hemorrhage and after all did not appear liver failure. Conclusion ： half liver resection of the liver to downlink blocked blood flow is the safest, most thorough clinical treatment of primary liver cancer treatments. This method can effectively reduce the main is the amount of blood loss was the health of the side and keep liver blood flow. Besides can also be extended the intraoperative block of time, and then reduce postoperative patients liver function damaged degree, and to reduce the incidence of postoperative complications.

关 键 词：半肝血流阻断 肝肿瘤切除 临床应用 

分 类 号：R735.7[医药卫生—肿瘤]