论文部分内容阅读
目的探讨原发性肝癌合并肝硬化患者行肝段切除手术中入肝血流阻断方法的更佳选择。方法总结分析合并肝硬化原发性肝癌32例,观察不同入肝血流阻断方法对手术中出血、术后肝功能及患者康复情况的影响。结果全组患者均成功切除肝癌,18例肝门部血流阻断(Pringle法)下的术后有3例患者出现上消化道出血,其中1例死亡;而14例选择性半肝血流阻断无上述情况出现,术后肝功能及腹腔血性引流及康复情况与前者相比,差异有统计学意义。结论合并肝硬化肝癌患者的手术切除,只要注意术前肝功能状况,确定合理的入肝血流阻断及手术方案,手术仍为安全可靠的选择。
Objective To investigate a better choice of the method of hepatic blood flow occlusion during hepatectomy in patients with primary liver cancer and cirrhosis. Methods Thirty-two cases of primary hepatocellular carcinoma with cirrhosis were analyzed. The effects of different methods of hepatic artery occlusion on bleeding during operation, postoperative liver function and rehabilitation of patients were observed. Results All the patients had successful resection of liver cancer. In the 18 patients undergoing prurotomy, 3 patients had upper gastrointestinal bleeding after operation, of which 1 died. In 14 patients with selective hemivertebra blood flow No such occlusion occurred, and postoperative liver function and abdominal bloody drainage and rehabilitation compared with the former, the difference was statistically significant. Conclusions Surgical resection of patients with liver cancer complicated with cirrhosis of liver cirrhosis should be considered as a safe and reliable choice as long as attention should be paid to the preoperative liver function status and to determine a reasonable scheme of hepatic blood flow occlusion and surgical treatment.