腹腔镜下肝癌切除术治疗原发性肝癌的临床效果与对肝功能的影响  

Clinical Effect of Laparoscopic Liver Cancer Resection on Primary Liver Cancer and its Influence on Liver Function

作　　者：李开明 LI Kaiming(The Second People's Hospital and Gynecology and Obstetrics Hospital of Fuxin City,Fuxin 123000,China)

机构地区：[1]阜新市第二人民医院(阜新市妇产医院),辽宁阜新123000

出　　处：《中国医药指南》2023年第6期42-45,共4页Guide of China Medicine

摘　　要：目的研究通过腹腔镜下肝癌切除术对原发性肝癌进行治疗的效果,并分析该术式对肝功能的影响。方法本文将在2019年1月至2020年4月到我院进行手术治疗的74例原发性肝癌患者随机分为观察组和对照组,每组平均37例。对照组实施传统开腹手术进行治疗,观察组通过腹腔镜手术治疗,对不同手术治疗以后患者的淋巴结清扫数量、并发症发生率、肝功能(TBIL、ALB、ALT、AST等指标)、进行统计和比较。结果①观察组清扫淋巴结(24.45±12.03)个,对照组清扫淋巴结(18.25±6.45)个,差异明显(P<0.05)。②观察组[3例(8.11%)]的并发症发生率比对照组[12例(32.43%)]明显更低,差异明显(P<0.05)。③治疗前,两组患者的TBIL、ALB、ALT、AST等指标差异不显著(P>0.05),治疗以后观察组患者的TBIL、ALB、ALT、AST等指标改善效果优于对照组,差异明显(P<0.05)。④观察组[35例(94.59%)]的满意度比对照组[29例(78.38%)]更高,差异显著(P<0.05)。⑤术前两组患者生活质量差异不显著(P>0.05),术后,观察组的生活质量改善比对照组更好,差异显著(P<0.05)。结论对原发性肝癌患者通过腹腔镜下肝癌切除术进行治疗能更多清扫患者的淋巴结数量,减少并发症的风险,改善患者的肝功能,提升患者对治疗的满意度和生活质量,值得推荐。Objective To study the effect of laparoscopic hepatectomy for primary liver cancer, and to analyze the effect of the operation on liver function. Methods In this paper, 74 patients with primary liver cancer who received surgical treatment in our hospital from January 2019 to April 2020 were randomly divided into observation group and control group, with an average of 37 cases in each group. The control group was treated with traditional laparotomy, and the observation group was treated with laparoscopic surgery. The number of lymph node dissection, the incidence of complications, liver function(TBIL, ALB, ALT, AST and other indicators) of the patients after different surgical treatments were statistically analyzed.and compare. Results(1) There were(24.45±12.03) lymph nodes in the observation group and(18.25±6.45) lymph nodes in the control group, the difference was significant(P<0.05).(2) Complications in the observation group [3 cases(8.11%)] the incidence rate was significantly lower than that of the control group [12 cases(32.43%)], and the difference was significant(P<0.05).(3) Before treatment, there was no significant difference in TBIL,ALB, ALT, AST and other indicators between the two groups(P>0.05), after treatment, the improvement effect of TBIL, ALB, ALT, AST and other indicators in the observation group was better than that in the control group, the difference was significant(P<0.05).(4) The satisfaction ratio of the observation group [35 cases(94.59%)] The control group [29 cases(78.38%)] was higher, and the difference was significant(P<0.05).(5) There was no significant difference in the quality of life between the two groups before surgery(P>0.05). After surgery, the observation group inproved quality of life better than the control group(P<0.05). Conclusion Laparoscopic hepatectomy for primary liver cancer patients can remove more lymph nodes,reduce the risk of complications, improve liver function, and improve patients’ satisfaction with treatment and quality of life. It is worth recommending

关 键 词：腹腔镜 开腹手术 原发性肝癌 肝功能 淋巴结 

分 类 号：R735.7[医药卫生—肿瘤]