半肝血流阻断与全肝血流阻断对肝癌患者术后肝功能影响分析  

Impact Analysis of Semi-hepatic Vascular Exclusion and Total Hepatic Vascular Exclusion for Liver Function After Liver Cancer Operation

作　　者：魏善武 丁海波 刘大林 

机构地区：[1]沭阳仁慈医院普外科,江苏沭阳223600

出　　处：《黑龙江医学》2015年第2期142-143,共2页Heilongjiang Medical Journal

摘　　要：目的探讨半肝血流阻断与全肝血流阻断对肝癌患者术后肝功能的影响。方法选取2012-01～2014-01间我院收治的78例肝癌患者,将其随机分为两组,即半肝阻断组和全肝阻断组,每组各39例。半肝阻断组在进行肝切除手术时采取半肝血流阻断,全肝阻断组在进行肝切除手术时给予全肝血流阻断。比较半肝阻断组及全肝阻断组患者术后肝功能及术中出血量。结果手术治疗后,半肝阻断组患者的术中出血量为（256.33±37.14）m L,谷氨酸转氨酶为（45.26±11.32）IU/L,总胆红素为（18.21±4.59）μmol/L,均低于全肝阻断组水平,组间差异均有统计学意义（P〈0.05）。结论在进行肝切除手术时,半肝血流阻断更利于肝癌患者的术后肝功能恢复,可推广使用。Objective To investigate the semi- hepatic vascular exclusion and total hepatic effect on liver function after liver cancer operation. Methods 78 cases with liver cancer from January,2012 to January,2014 in the hospital were randomly divided into two groups,with 39 cases in each group. Postoperative liver function and blood loss were compared between hemihepatic blocked group（ taking half hepatic ischemia） and total hepatic blocking group（ taking the total hepatic ischemia）. Results After surgery,the patients＇ blood loss in hemihepatic blocking group was（ 256. 33 ± 37. 14） m L,ALT was（ 45. 26 ± 11. 32） IU / L,TBIL was（ 18. 21 ± 4. 59） μmol / L,which were all lower than the whole liver blocking group. There were significant differences between the groups（ P 0. 05）. Conclusion During liver resection,half hepatic ischemia in patients with liver cancer is more conducive to the recovery of postoperative liver function. So it can be widely used.

关 键 词：肝癌 半肝血流阻断 全肝血流阻断 肝功能 

分 类 号：R735.7[医药卫生—肿瘤]