Glisson蒂横断式肝切除术对预防肝肿瘤复发的应用.docVIP

Glisson蒂横断式肝切除术对预防肝肿瘤复发的应用 　　[摘要]目的 探讨肝门部Glisson蒂横断式肝切除术对预防肿瘤复发的应用效果。方法 选择我院 2015年5月～2016年7月进行肝切除手术的患者60例作为研究对象，按照治疗方式分为对照组和研究组。对照组30例，采用常规肝切除术，研究组30例，采用Glisson蒂横断式切除方式。比较两种手术方式对预防肝肿瘤复发的效果。结果 两组患者的手术时间差异无统计学意义（P0.05），两组的复发率术中出血量、住院时间、并发症发生率，术后1、7 d的ALT、Alb差异有统计学意义（P0.05），随访1年，研究组的复发率（10.0%）低于对照组（36.7%），两组差异有统计学意义（P0.05）。结论 Glisson蒂横断式肝切除术能够减少术中出血量，减少肝肿瘤复发，效果明显，可提高患者的生存率，具有应用价值。 　　[关键词]Glisson蒂横断式；肝切除术；肝肿瘤；复发 　　[中图分类号] R735.7 [文献标识码] A [文章编号] 1674-4721（2017）11（b）-0050-03 　　[Abstract]Objective To investigate the application effect of Glisson pedicle transection hepatic resection at the porta hepatisin for preventing recurrence of tumor.Methods 60 patients given hepatic resection in our hospital from May 2015 to July 2016 were selected as objects.Patients were divided into the control group and study group according to the treatment method.30 cases in the control group were given general hepatic resection，while 30 patients in the study group were given Glisson pedicle transection hepatic resection.The effect of two surgical methods on preventing recurrence of liver tumor was compared.Results There operation time had no statistical difference between the two groups （P0.05）.The difference of intraoperative bleeding amount，length of stay，the incidence of complication，ALT and Alb after the first and seventh day operation were significant （P0.05）.Followed-up 1 year，the recurrence rate of the study group was 10.0%，which was lower than that of the control group （36.7%），and there was a statistical difference between the two groups （P0.05）.Conclusion Glisson pedicle transection hepatic resection can reduce the intraoperative bleeding amount and reduce the recurrence of liver tumor.The effect is obvious，and the survival rate of the patients is improved，which has an application value. 　　[Key words]Glisson pedicle transaction；Hepatic resection；Liver tumor；Recurrence 　　肝肿瘤是恶性肿瘤之一，是发生在肝脏部位的肿瘤病变，在肝脏发生的肿瘤中，良性肿瘤较少见，恶性肿瘤不仅常见而且会发生转移[1]。肝脏是人体的重要实质性器官，承担人体功能中重要的代谢功能[2]，因此，一旦患有恶性肿瘤，会