肝尾状叶损伤15例诊治分析  

Analyses of diagnosis and treatment in 15 cases of hepatic caudate lobe trauma

作　　者：刘志超[1] 刘建刚[2] 侯传强[2] 刘玉河[2] 

机构地区：[1]泰山医学院第一教学医院,山东泰安271000 [2]泰山医学院附属医院,山东泰安271000

出　　处：《泰山医学院学报》2002年第4期395-396,共2页Journal of Taishan Medical College

摘　　要：目的　初步探讨了肝尾状叶的解剖及尾状叶损伤的机制 ,诊断 ,治疗措施等问题。方法　对 15例肝尾状叶损伤病例进行分析。结果　 13例治愈 ,2例死亡。结论　肝尾状叶部位深在 ,解剖复杂 ,其损伤多合并其他脏器损伤 ,伤情重 ,多需手术治疗。填塞止血 ,缝合修补及不规则尾状叶切除是常用术式 ,B超或CT检查及不定时复查对尾状叶损伤的诊断 。Objective: To analyze the anatomy, diagnosis and treatment of hepatic caudate lobe trauma. Methods: Fifteen cases of hepatic caudate lobe trauma were analyzed. Results: Thirteen cases were healed at a rate of 86.7%, and 2 cases were dead at a rate of 13.3%. Conclusion: Most of the hepatic caudate lobe trauma cases need surgical treatment. We can use several kinds of operative approaches, such as suture repairing, the greater omentum and absorbable gelatin sponge plugging or the irregular resection. B-mode ultrasonography or CT and regular review improves the diagnosis and method choice in the treatment for hepatic caudate lobe trauma.

关 键 词：肝尾状叶损伤 诊断 治疗 

分 类 号：R657.3[医药卫生—外科学]