不同血流阻断法在原发性肝癌手术中的效果对比分析.docVIP

不同血流阻断法在原发性肝癌手术中的效果对比分析 　　[摘要] 目的 对比分析不同血流阻断法在原发性肝癌手术中的效果。方法 整群选择2012年1月―2015年6月来该院治疗原发性肝癌的患者96例，随机将其分成A、B、C3组，每组32例，A组采用第一肝门阻断法，B组采用半肝血流阻断法，C组采用保留半肝血流阻断法。观察3组患者治疗效果。 结果 A组患者的手术时间为（153.45±20.92）min、B组患者的手术时间为（212.08±18.94）min、C组患者的手术时间为（156.95±17.83）min，A、C两组患者的手术时间明显短于B组；A组患者术后胆红素恢复时间为（11.27±2.58）d、B组患者术后胆红素恢复时间为（7.53±1.85）d、C组患者胆红素恢复时间为（7.41±1.36）d，B、C两组患者术胆红素恢复时间明显短于A组，差异有统计学意义（P0.05）。结论 上述3种血流阻断法均能减少原发性肝癌患者术中出血量，但半肝血流阻断法及保留半肝血流阻断法安全性更高，且保留半肝血流阻断法操作简单，可作为首选治疗方法。 　　[关键词] 血流阻断法；原发性肝癌；肝血流阻断法 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）04（c）-0077-02 　　[Abstract] Objective To compare and analyze the effects of different blood flow occlusion methods in the primary liver cancer. Methods 96 cases of patients with primary liver cancer treated in our hospital from January 2012 to June 2015 were selected and randomly divided into three groups with 32 cases in each， the group A adopted the first hepatic portal occusion method， the group B adopted hemih-epatic vascular occlusion method， the group C adopted reserved hemih-epatic vascular occlusion method， and the treatment effects of the three groups were observed. Results The operation time was （153.45±20.92） min in the group A， （212.08±18.94） min in the group B and （156.95±17.83） min in the group C， and the operation time in the group A and the group C was obviously shorter than that in the group B， the recovery time of postoperative bilirubin was （11.27±2.58） d in the group A， （7.53±1.85） d in the group B and （7.41±1.36） d in the group C， and the recovery time of postoperative bilirubin in the group B and group C was obviously shorter than that in the group A， and the difference had statistical significance， P0.05. Conclusion The three blood flow occlusion methods above can reduce the intraoperative blood loss of patients with primary liver cancer， but the safety of hemih-epatic vascular occlusion method and reserved hemih-epatic vascular occlusion method is higher， and the operation of reserved hemih-epatic vascul