肝血管瘤术中大出血危险因素研究及处理word论文.docxVIP

中英文缩略词对照表英文缩写英文全名中文译名CHLCavernous Hemangioma of theliver肝海绵状血管瘤HHHepatic Hemangioma肝血管瘤TAEhepatic artery perfusion combiningwith embolotherapy肝动脉灌注化疗栓塞术目录摘要……………………………………………………………………………… 1ABSTRACT……………………………………………………………………… 2 前言……………………………………………………………………………… 3资料与方法……………………………………………………………………… 41 临床资料………………………………………………………………… 41.1 一般资料…………………………………………………………… 41.2 临床表现…………………………………………………………… 41.3 术前检查…………………………………………………………… 42 研究方法………………………………………………………………… 52.1 纳入标准…………………………………………………………… 52.2 统计学方法………………………………………………………… 5结果……………………………………………………………………………… 7讨论……………………………………………………………………………… 10小结……………………………………………………………………………… 19致谢……………………………………………………………………………… 20参考文献………………………………………………………………………… 21综述……………………………………………………………………………… 23攻读硕士学位期间发表的学位论文…………………………………………… 29导师评阅表……………………………………………………………………… 30肝血管瘤术中大出血的危险因素分析及处理研究生：郑育强 导师：张金辉 教授摘 要目的：分析肝血管瘤术中大出血的危险因素并探讨其防治措施。方法：总结我 院295例肝血管瘤手术治疗临床资料,术中出血量达到或超过1000 ml的21例患者作为 大出血组统计,其余274例患者作为非大出血组,对可能影响术中大出血的因素进行单 因素分析和Logistic回归分析。结果：单因素分析显示肝硬化、瘤体大小、瘤体与肝 门关系及手术方式等4个因素与术中大出血相关（P0.05）； Logistic回归分析显示 瘤体与肝门关系及手术方式是肝血管瘤术中大出血的独立危险因素(P0.05)。结 论：术中精确解剖瘤体和肝门之间的间隙、选择合理的手术方式是减少术中大出血 的有力措施。关键词：肝血管瘤，危险因素，Logistic 回归模型1The study of risk factors of hepatic hemangioma inhepatic surgicalPostgraduate:Zheng Yuqiang Supervisor: Prof. Zhang JinhuiAbstractObjective:To analyze the risk factors and the management of massive hemorrhage during liver resection in patients with hepatic hemangioma.Methods:21 patients with over 1000ml of bleeding, and other 274 patients were analyzed retrospectively. Independent variables were analyzed by univariate analysis and logistic regression to screen out therisk factors．Results:Logistic regression model analysis showed that involved hilum andthe surgical maneuver were the independent risk factors during liver resection with hepatic hemangioma （ P0.05 ） . Conclusion:Precise dissection and proper management areeffective measures to reduce hemorrhage during liver resection with hepatic hemangioma.Key words:Hepat