保留一侧入肝动脉血流阻断在肝肿瘤切除中的应用
The application of unilateral hepatic artery reserved in hepatic tumor resection
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摘要: 目的:比较3种不同的入肝血流阻断肝切除方式的安全性和对肝脏的损伤程度。方法:肝癌肝切除的60例患者,接受全肝入肝血流阻断(A组)、半肝血流阻断(B组)和保留半肝动脉阻断方式(C组)的患者各20例,比较其手术时间、出血量、术后肝功能恢复情况。结果:3组患者术中失血量B组多于A组(P0.05),而肝门阻断时间和手术时间及并发症差异均无统计学意义(P0.05)。术后7 d,A组患者丙氨酸氨基转移酶均高于B组和C组患者(P0.01)。A组、B组和C组患者术后1 d和7 d总胆红素差异均无统计学意义(P0.05)。结论:保留半肝动脉阻断的肝切除方式手术安全性好,对肝脏损伤较小。Abstract: Objective: To compare the safety and liver damage of three different blocking hepatic blood flow ways in hepatectomy.Methods: Sixty patients with hepatectomy were divided into group A, group B and group C,which were operated by blocking all hepatic inflow,hemi-hepatic inflow and reserving unilateral hepatic artery(20 cases each group) , respectively.The operation time,blood loss and postoperative liver function recovery of three groups were compared.Results: Blood loss of group B was more than in group A(P0.05) .There were no statistical differences in the time of operation and hepatic portal occlusion, complication(P0.05) .The levels of alanine aminotransferase(ALT) in group A were higher than that of group B and C at the postoperative day 7(P0.01) .The levels of total bilirubin(TB) in group A,group B and C at the postoperative day 1 and 7 was not statistically significant (P0.05 ) .Conclusions: Hepatectomy with hemi-hepatic artery reserved is a safe and less damage to liver.