肝脏储备功能评价及应用研究evaluationand-现代生物医学进展.pdf

1590 · · 现代生物医学进展 Progress in Modern Biomedicine Vol.12 NO.8 MAR.2012 肝脏储备功能评估及应用研究 1 1△ 2 刘 伟 郑 军 赵延春 1 2 443003 （三峡大学第一临床医学院，三峡大学第三临床医学院 湖北宜昌 ） 摘要：目前，肝脏外科已经进入了精准外科时代，术前准确评估肝脏的储备功能，对于选择合理的治疗方法，把握安全的肝切除范 围，减少术后并发症，从而降低患者围手术期的肝功能衰竭的发生率均具有十分重要的意义。本文就综述了肝脏储备功能评估方 法及其临床，以期促进精准肝脏外科手术的开展，提高肝脏疾病患者的生存率和生存质量。 关键词：肝脏储备功能；评估；发展；临床应用 R575.2 A 1673-6273 2012 08-1590-03 中图分类号： 文献标识码： 文章编号： （ ） Evaluation and Application on Hepatic Functional Reservation 1 1△ 2 LIU Wei , ZHENG Jun , ZHAO Yan -chun ( 1 Sanxia University :1General surgery dep artment of the first Clinical college; 2 General surgery dep artment of the third Clinical college ,Yichang, Hubei, 443003, China) ABSTRACT: At present, the liver surgery has entered the precise surgery era. Accurate evaluation of the preoperative liver functional reservation is important in the rational choice of treatment, grasping the safe resection range of liver and reducing postoperative compli- cations, thus it is significant in reducing incidence rate of perioperative liver failure for patients. This paper reviews the recent develop- ment of evaluation on hepatic functional reservation and its clinical applications in order to promote the development of precise liver surgery, and improve survival rates and quality of life for patients with hepatic disease. Key words: Hepatic functional reservation; Evaluation; Development; Clinical application Chinese Library Classification(CLC): R575.2 Document code: A Article ID: