外伤性肝破裂患者经导管动脉内栓塞术治疗对丙氨酸氨基转移酶变化、手术时间、恢复饮食时间的影响  

Effects of transcatheter arterial embolization in patients with traumatic liver rupture on ALT changes,operative time and diet recovery time

作　　者：房群[1] 刘道同[2] Fang Qun;Liu Daotong(Emergency Department,Yidu Central Hospital of Weifang City,Shandong Weifang 262500;Department of Breast and Thyroid Surgery,the First People's Hospital of Jining City,Shandong Jining 272000)

机构地区：[1]潍坊市益都中心医院急诊科,山东潍坊262500 [2]济宁市第一人民医院乳甲外科,山东济宁272000

出　　处：《中国社区医师》2021年第5期17-18,共2页Chinese Community Doctors

基　　金：潍坊市卫健委科研项目计划WFWSJK-2020-183。

摘　　要：目的:探讨外伤性肝破裂患者经导管动脉内栓塞术治疗对丙氨酸氨基转移酶(ALT)变化、手术时间、恢复饮食时间的影响。方法:2017年8月-2019年3月收治外伤性肝破裂患者142例,根据不同治疗方法分为两组,各71例。对照组应用常规手术治疗;研究组应用经导管动脉内栓塞术治疗。比较两组治疗效果。结果:研究组ALT水平、肝内血肿体积均高于对照组,差异有统计学意义(P<0.05);研究组饮食恢复时间、住院时间、术中出血量及手术时间均低于对照组,差异有统计学意义(P<0.05);研究组临床疗效优于对照组,且并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:经导管动脉内栓塞术治疗外伤性肝破裂的效果比较理想,可以改善ALT水平,降低恢复饮食时间及手术时间,帮助患者尽快痊愈。Objective:To investigate the effect of transcatheter arterial embolization in patients with traumatic liver rupture on ALT changes,operative time and diet recovery time.Methods:From August 2017 to March 2019,142 cases of patients with traumatic liver rupture were enrolled,they were divided into two groups according to different treatment methods,with 71 cases in each group.The control group was treated by conventional operation.The study group was treated by transcatheter arterial embolization.The therapeutic effects between the two groups was compared.Results:The levels of ALT and intrahepatic hematoma volume in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The diet recovery time,length of hospital stays,the amount of intraoperative blood loss and operative time in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).The clinical effect of the study group was better than that of the control group,while the incidence of complications was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Transcatheter arterial embolization is effective in the treatment of traumatic liver rupture,it can not only improve ALT level,reduce recovery diet time and operative time,but also can help patients recover as soon as possible.

关 键 词：外伤性肝破裂 经导管动脉内栓塞术 丙氨酸氨基转移酶 手术时间 恢复饮食时间 

分 类 号：R657.3[医药卫生—外科学]