区域血流阻断在肝脏手术中的应用价值  

Clinical application of hemihepatic blood stream occlusion in hepatectomy

作　　者：刘文艺[1] 

机构地区：[1]遵义医学院附属医院肝胆外科,遵义563003

出　　处：《中国肝脏病杂志（电子版）》2011年第1期24-26,共3页Chinese Journal of Liver Diseases：Electronic Version

摘　　要：目的探讨区域血流阻断在肝脏手术中的应用价值。方法游离阻断需切除肝脏的肝动脉或其分支、门静脉或其属支及回流的肝静脉后切除肝叶。结果 72例肝叶切除患者中,1例45天出院,1例32天出院,其余均在15～20天出院。结论区域血流阻断可以控制肝脏切除手术中的出血量,保留不予切除肝脏的血运,术中、术后均对肝功能损害较轻,是一种可行、合理的肝血流阻断方法。Objective To explore the value of clinical application of the hemihepatic blood flow occlusion in hepatectomy.Methods After the dissociation occlusion of the hemihepatic artery,portal vein and hepaticvein,livers were partly removed.Results One out of 72 patients who underwent lobectomy of the liver recovered after 45 days in hospital,one after 32 days and the others after 15-20 days.Conclusions The hemihepatic bloodstream occlusion may control the amount of bleeding in the operation of hemihepatic removal and keep the blood circulation of the remaining liver.It is a feasible and effective method which has little damage to the function of liver both during and after operation.

关 键 词：阻断疗法 肝切除术 手术后并发症 

分 类 号：R657.3[医药卫生—外科学]