腹腔镜肝切除lh治疗肝肿瘤的临床分析word格式论文.docxVIP

优秀毕业论文 精品参考文献资料 腹腔镜肝切除（LH）治疗肝肿瘤的临床研究 中文摘要 目的： 探讨腹腔镜肝切除在肝肿瘤治疗的安全性和有效性以及相对传统开腹肝切 除的优势与不足。 方法： 回顾性分析 2012 年 07 月至 2014 年 12 月期间蚌埠医学院第一附属医院肝胆 外科行肝切除术的 44 例患者的一般资料和临床资料。按术式分为腹腔镜肝切除 （Laparoscopic hepatectomy,LH）组和开腹肝切除（Open hepatectomy,OH）组。 LH 组共 21 例患者，OH 组共 23 例患者。比较两组患者的一般资料、手术时间、 术中出血量、输血率、肝门血流阻断率、术后禁食时间、携带引流管时间、术后 住院天数、住院总费用及手术并发症等。 结果： 通过分析统计，LH 组在术中出血量、输血率、血流阻断率、术后禁食时间、 携带引流管时间、术后住院时间均小于 OH 组，具有统计学意义（P0.05），但 在手术时间高于 OH 组，且具有统计学意义（P0.05)。LH 组在住院总费用上高 于 OH 组，但不具有统计学意义（P0.05)。LH 组出现术后胆漏 1 例，腹腔积液 1 例，肺部并发症 2 例；OH 组出现胆漏 2 例，术后出血 1 例，腹腔积液 1 例。 44 例患者手术均获成功，两组死亡率均为 0%。 结论： 在严格把握手术指征的前提下，经过完善的术前评估，由腔镜与肝切除均熟 练的医师完成的腹腔镜肝切除是安全可行的，并具有机体创伤小、术后恢复快及 住院时间短等优势。 关键词 腹腔镜肝切除；开腹肝切除；完全腹腔镜肝切除；治疗 Clinical study of laparoscopic hepatectomy for treatment of liver tumors Abstract Objective To investigate the safety and efficacy of laparoscopic hepatectomy and the advantages and disadvantages compared with open hepatectomy. Methods A retrospective analysis was performed,general and clinical data of 44 patients were the subjects.The study was conducted in the First Affiliated Hospital of Bengbu Medical College between July 2013 and December 2014.There is one group containing 21 patients who had received laparoscopic hepatectomy (LH)and another group containing 23 who had received open hepatectomy(OH).And the two groups are going to be compared in the aspects of general data,operative time, Intraoperative blood loss, blood transfusion, blocking the hepatic portal,ipostoperative fasting time, indwelling drainage tube time,postoperative hospital stay, hospital costs and postoperative complications. Results Through statistical analysis,comparing LH group to OH group, it can be found that intraoperative blood loss,blood transfusion rate, blocking blood flow rate ， postoperative fasting time，indwelling drainage tube time，postoperative hospital stay less in LH group ，which has the statistical significance （P0.05),But the operation time of LH group were higher than OH group,which also h