肝切除术中肝脏血流阻断技术的研究进展.pdfVIP

中国普外基础与临床杂志 2008 年 4 月第 15 卷第 4 期 　Chin J Ba ses Clin General Sur g , Vol . 15 , No . 4 , Ap r . 2008 2·99 · 【文章编号】1007 - 9424( 2008) 04 - 0299 - 04 综 　述 肝切除术中肝脏血流阻断技术的研究进展△ 文天夫 　严律南 【摘要】　目的　复习肝切除术中肝脏血流阻断技术的研究进展 。方法 　对相关文献进行分析与综述 。结果 　 ( ) 肝脏血流阻断方法多 ,最常用的和研究最多的是半肝 或选择性 血流阻断法和间歇性入肝血流阻断法 ,有损伤肝 ( ) 静脉和 或 腔静脉风险时启用肝血流隔离法 ,极少采用全肝血流阻断法和其他方法 。结论 　根据病情 ,巧妙选用 肝血流阻断技术 ,可减少肝切除术中出血和保证患者安全 。 【关键词】　　肝血流阻断 　　肝切除 【中图分类号】R657 . 3 　　　【文献标识码】A Advances in Techniques of Hepatic Blood Occlusion in Hepatectomy 　W E N T i anf u , YA N L ünan . D ep a rtment of Gene ral S u rg e ry an d Cente r of L i ve r T ransp l ant ation , Wes t Chi na H osp i t al , S ich uan Uni ve rs i ty , Cheng d u 61004 1 , Chi na Cor resp on d i ng A ut hor : W E N T i anf u , Em ai l : ccw enti anf u @s ohu . com 【Abstract 】　Objective 　To review t he advances in t echniques of hep atic bloo d occlu sion in hep at ectomy . Methods 　The relat ed lit erat ures were reviewed and analy sed . Results 　There were many t echniques of hep atic bloo d occlu sion . The mo st f requently u sed and st udied t echniques were hemihep atic va scular occlu sion and int ermitt ent hep atic inflow occlu sion . Hep atic va scular exclu sion was emp loyed when hep atic vein s and/ or vena cava would be damaged . Tot al va scular exclu sion and ot her t echniques were rarely u sed . Conclusion 　To reduce blood lo ss in hepatectomy and make patient safe , based on the situation of the patient