选择性半肝血流阻断在肝切除术中的意义  

Application of selective hemihepatic vascular control in hepatectomy

作　　者：芦晓磊[1] 王卫星[1] 

机构地区：[1]武汉大学人民医院,湖北武汉430060

出　　处：《西部医学》2013年第2期240-241,共2页Medical Journal of West China

摘　　要：目的探讨肝切除术中选择性阻断半肝血流的安全性与技巧,及其对余肝功能的影响。方法回顾性分析54例肝癌切除术病例,根据切肝时是否为选择性地阻断半肝入肝血流或第一肝门血流阻断分为选择组(n=23)与非选择组(n=31),比较两者对术中出血量、术后余肝功能的影响。结果选择组与非选择组术中估计失血量分别为(770±603.27)ml和(814.84±792.27)ml(P>0.05);选择组与非选择组术后第一天ALT分别为(342.08±272.01)和(585.16±411.12)U/L(P<0.05),AST分别为(410.26±252.58)和(617.55±380.09)U/L(P<0.05)。结论肝癌切除术中选择性地阻断半肝血流有利于术后患者肝功能的恢复。Objective To investigate safety and surgical technique of selective hemihepatic vascular and it＇s influence on liver function. Methods 54 casess of hepatectomy were retrospective studid and were divided into two groups according to application of selective hemihepatic vascular in order to compare it＇s influence to amount of bleeding and loss function after operation. Results The amount of bleeding was （770±603.27）ml in the selected group and （814.84±792.27）ml in the control group （P〉0. 05） ; in the 1st day after operation, ALT was 342.08±272.01 in the seIected group and （585.16±411.12）u/1 in the control group（P〈0. 05）;AST was （410. 26±252.58） in the selected group and （617.55±380.09）u/1 in the control group （P〈0.05）. Conclusion Selective hemihepatic vascular can improve the recovery of liver function after operation.

关 键 词：肝切除术 肝血流阻断 肝功能 

分 类 号：R657.3[医药卫生—外科学]