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目的探讨原发性肝癌(下简称肝癌)肝切除时三种肝创面处理方法的效果。方法对965例施行肝癌患者肝叶切除术的肝创面分别采用大网膜覆盖(A组63例)、对拢缝合法(B组565例)和生物蛋白胶喷凝法(C组337例)处理,观察三组术后腹腔引流量、发热天数和并发症发生率。结果 B组和C组的腹腔引流量均少于A组,三种方法处理肝创面的发热天数和并发症发生率无差异。结论三种方法是在长期的临床实践中不断提高的过程中形成的,每种方法有其自身的优点和不足。在应用过程中应灵活掌握,也可联合应用。
Objective To investigate the effect of three kinds of liver wound treatment in hepatic resection of primary liver cancer (hereinafter referred to as liver cancer). Methods A total of 965 liver sections undergoing hepatectomy for hepatocellular carcinoma patients were treated with omentum covering (group A, 63 cases), wound closure (group B, 565 cases) and biological protein gel coagulation (group C, 337 cases) Treatment, observation of three groups of postoperative abdominal drainage, days of fever and the incidence of complications. Results The abdominal drainage volume in group B and group C was less than that in group A, respectively. There was no difference in the number of days of fever and complication between the three methods in treating liver wounds. Conclusions The three approaches were developed during long-term clinical practice and each has its own strengths and weaknesses. In the application process should be flexible, but also can be combined.