Ⅲ-Ⅳ级外伤性肝破裂手术和非手术治疗的临床对比分析  

Clinical Comparative Analysis of Surgical Treatment of Traumatic Hepatic Rupture and non-Surgical Treatment

作　　者：温永春 WEN Yong-chun(Luoyang frst people＇s Hospital,Luoyang,Henan,471001,China)

机构地区：[1]洛阳市第一人民医院,河南洛阳471001

出　　处：《临床研究》2018年第7期85-87,共3页Clinical Research

摘　　要：目的比较Ⅲ-Ⅳ级外伤性肝破裂手术和非手术治疗的效果。方法将河南省洛阳市第一人民医院自2009年1月~2014年12月间收治的Ⅲ-Ⅳ级外伤性肝破裂患者48例作为研究对象,按照住院顺序随机分为研究组和对照组各24例,研究组患者采用手术方式进行治疗,对照组患者采用非手术方法治疗,观察两组患者的临床疗效。结果与对照组患者相比,研究组患者的住院时间与恢复饮食时间明显较少(P<0.05),而肝内血肿变化情况、丙氨酸转移酶水平等指标均显著优于对照组(P<0.05),研究组患者并发症发生率(8.33%),显著低于对照组(20.83%),P<0.05。结论Ⅲ-Ⅳ级外伤性肝破裂患者采用手术治疗能够缩短患者的住院时间,对患者的血肿和丙氨酸转移酶的水平起到改善作用,有效且安全。Objective To compare the effect of surgical treatment of traumatic hepatic rupture of Grade Ⅲ-VI and nonsurgical treatment. Methods 48 patients with traumatic hepatic rupture treated in our hospital from January 2009 to December 2014 were divided into study group and control group. The patients in the study group（24 cases） were treated by operation treatment, the patients of control group（24 cases） with non-surgical treatment, to observe the clinical efficacy of the two groups of patients. Results Compared with the control group, the time of hospitalization and the recovery time of the patients in the study group were significantly less than those of the control group（P 0.05）. And the changes of intrahepatic hematoma and the changes of alanine transferase were significantly better than those of the control group（P 0.05）. The incidence of complication was 8.33%, which was significantly lower than that of the control group（20.83%）（P 0.05）. Conclusion Surgical treatment of traumatic liver rupture of Grade Ⅲ-VI can shorten the hospitalization time and improve the hematoma and alanine transferase level. It is effective and safe.

关 键 词：外伤性肝破裂 手术治疗 非手术治疗 效果 

分 类 号：R657.3[医药卫生—外科学]