交替性入肝血流阻断在腹腔镜肝部分切除中的应用  

Application of Alternate Hepatic Inflow Occlusion in Laparoscopic Partial Hepatectomy

作　　者：范志超 于凤姣 FAN Zhichao;YU Fengjiao(Department of General Surgery,Hebi People's Hospital,Hebi 458030,China;Department of Gastroenterology,Hebi People's Hospital,Hebi 458030,China)

机构地区：[1]鹤壁市人民医院普外科,河南鹤壁458030 [2]鹤壁市人民医院消化内科,河南鹤壁458030

出　　处：《临床医学工程》2023年第4期463-464,共2页Clinical Medicine & Engineering

摘　　要：目的探讨交替性入肝血流阻断在腹腔镜肝部分切除中的应用效果。方法60例行腹腔镜肝部分切除患者按照入组顺序分为两组,对照组采用间断Pringle血流阻断,观察组采用交替性入肝血流阻断,比较两组的手术指标、肝功能以及并发症。结果观察组的手术时间长于对照组,术中出血量、术中输血量均少于对照组(P<0.05)。观察组术后的ALT、AST、TBIL水平均低于对照组,住院时间短于对照组(P<0.05)。两组的并发症发生率比较,差异无统计学意义(P>0.05)。结论交替性入肝血流阻断可减少腹腔镜肝部分切除患者的术中出血量,缩短住院时间,减轻对肝功能的损伤。Objective To explore the application effect of alternate hepatic inflow occlusion in laparoscopic partial hepatectomy.Methods 60 patients with laparoscopic partial hepatectomy were divided into two groups according to the order of enrollment.The control group received intermitent Pringle blood flow occlusion,and the observation group received alternate hepatic inflow occlusion.The surgical indicators,liver function and complications were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,and the intraoperative blood loss amount and intraoperative blood transfusion amount were less than those of the control group(P<0.05).The levels of ALT,AST and TBIL after surgery of the observation group were lower than those of the control group,and the hospitalization time was shorter than that of the control group(P<0.05).No significant difference was found in the incidence of complications between the two groups(P>0.05).Conclusions Alternate hepatic inflow occlusion can reduce the intraoperative blood loss amount,shorten hospitalization time,and reduce the damage to liver function in patients with laparoscopic partial hepatectomy.

关 键 词：交替性入肝血流阻断 腹腔镜肝部分切除 肝功能 

分 类 号：R657.3[医药卫生—外科学]