新型入肝血流阻断方式对肝癌手术患者的疗效及对其肝、胃肠功能指标及预后的影响  

Effect of New Type of Hepatic Inflow Occlusion on Liver, Gastrointestinal Function and Prognosis in Patients Underwent Hepatectomy for Hepatocellular Carcinoma

作　　者：刘可峰[1] 王伟[1] 范永刚[1] LIU Kefeng;WANG Wei;FAN Yonggang(The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,471000)

机构地区：[1]河南科技大学第一附属医院,471000

出　　处：《实用癌症杂志》2022年第2期266-269,共4页The Practical Journal of Cancer

基　　金：2019年河南省科技攻关项目(编号:LHGJ20190133)。

摘　　要：目的探讨新型入肝血流阻断方式对行肝癌切除术患者的疗效及对其肝、胃肠功能指标及预后的影响。方法选取62例原发性肝癌患者作为研究对象。根据手术方式的差异将其分为2组,其中研究组30例,采用交替区域入肝血流阻断治疗;而对照组32例,则采用常规肝血流阻断治疗。对比2组患者的肝功能指标等差异。结果除手术时间外,研究组其余围术期指标均优于对照组患者(P<0.05)。和对照组相比,研究组术后相关肝功能指标均明显改善(P<0.05)。和对照组相比,研究组术后胃肠功能指标均明显改善(P<0.05)。术后3个月,两组的生存率对比无差异(P>0.05)。结论交替性区域入肝血流阻断技术可有效控制原发性肝癌患者的术中出血,同时可减轻其肝损伤程度并加快患者的康复速度,最终不影响患者预后,值得临床推广应用。Objective To analyze the effect of a new type of hepatic inflow occlusion on liver and gastrointestinal function and prognosis in patients underwent hepatectomy.Methods 62 cases of patients with primary liver cancer were selected as the research object.They were divided into 2 groups according to the difference of operation methods.Among them, 30 patients in the study group were treated with alternate regional hepatic blood flow occlusion, while 32 patients in the control group were treated with conventional hepatic blood flow occlusion.Results Except for the operation time, the other perioperative indexes in the study group were better than those in the control group(P<0.05).The related indexes of liver function in the study group were obviously improved than the control group(P<0.05).The gastrointestinal function index of the study group was obvious improved than the control group(P<0.05).The survival rate of the 2 groups had no difference(P>0.05).Conclusion Alternate regional hepatic inflow occlusion technology can effectively control the intraoperative bleeding of patients with primary liver cancer, reduce the degree of liver injury and accelerate the recovery of patients, and ultimately does not affect the prognosis of patients, so it is worthy of clinical application.

关 键 词：交替性区域入肝血流阻断技术 肝癌 肝功能 疗效 胃肠功能 预后 

分 类 号：R735.7[医药卫生—肿瘤]