微创外科技术在严重肝损伤及并发症处理中的应用  

Application of minimally invasive surgery in the treatment of severe liver trauma and complications

作　　者：陈宇凡 王小文 李冉冉 聂凯 叶磊 周松 CHEN Yu-fan;WANG Xiao-wen;LI Ran-ran;NIE Kai;YE Lei;ZHOU Song(Department of General Surgery,No.909 Hospital of People’s Liberation Army,Zhangzhou,Fujian 363000,China)

机构地区：[1]解放军第九O九医院普通外科

出　　处：《创伤外科杂志》2019年第9期709-711,共3页Journal of Traumatic Surgery

基　　金：漳州市自然科学基金(ZZ2016J03);南京军区医药卫生科研基金(ZX21)

摘　　要：严重肝损伤(SLT)是指肝损伤分级(AAST)标准Ⅲ级以上的肝损伤,常导致肝实质粉碎或破裂。SLT具有出血量大、处理困难、并发症发生率及病死率高的特点。近年来,肝损伤发生率不断上升,对于严重肝损伤,现有的以手术为主的救治模式成功率低,病死率高;而经导管动脉内栓塞术(TAE)等介入微创外科技术,因其可明显提高救治的成功率,而逐渐被应用于临床。Severe liver trauma(SLT)refers to the liver trauma of gradeⅢor higher in the AAST grading standard,which often leads to severe liver parenchyma smash or rupture.It is difficult to treat SLT because of large amount of bleeding,which had high complication rate and mortality.In recent years,the incidence of liver injury has been rising.The existing surgery-based treatment mode is not effective enough for the SLT,and has high mortaliry.On the other hand,transcatheter arterial embolization(TAE)and other interventional minimally invasive surgical techniques which significantly improve the success rate of treatment are gradually being applied in clinical practice.

关 键 词：肝损伤 微创 动脉内栓塞 

分 类 号：R657.3[医药卫生—外科学]