川北医学院学报2016，Vol.31Issue(5)：723-726,4.DOI:10.3969/j.issn.1005-3697.2016.05.029
肝切除术中血流阻断方式的选择
The choice of blood flow occlusion in hepatectomy
摘要
Abstract
Objective:By comparing the three kinds of anatomical blocking solutions and the corresponding pre blocking blood flow in the liver tumor resection,the application of value for the selection of best way to block blood flow in liver resection for reference. Methods:To carry out a non-randomized controlled trial during this period,the included 240 patients with liver tumor line open opera-tion,and is divided into three groups,6 groups,group of each 40 cases:half liver blood flow blocking group (A1 )and preliminary blocking group (group A2),the main portal vein blocking group (group B1 )and preliminary blocking group (group B2),liver portal vein of retain half door block group (C1 )and preliminary blocking group (C2),the comparison between groups of clinical curative effect.Results:(1 )The direct blocking group compared with pre block set,the following differences were significant (P <0.05 )that the bleeding amount of preliminary blocking group significantly less and less postoperative blood transfusion were obviously,3 d postop-erative prothrombin activity significantly higher;(2)three big contrast group,the following difference were significant (P <0.05 ):bleeding amount of patients given by C1 and C2,B1 and B2,A1 and A2 group significantly increased in turn,the aeration time accord-ing to the A1 and A2,C1 and C2,B1 and B2 group significantly extended in turn,postoperative 3 d ALT and AST level according to B1 and B2,A1 and A2 and C1 and C2 group significantly increased in turn.Conclusion:The 3 groups of anatomical blood flow blocking scheme have certain applicability,but through the bloodstream pre blocking technology helps control intraoperatie bleeding,postopera-tive blood transfusion and promote the recovery of liver function.关键词
肝脏肿瘤/肝切除术/解剖性血流阻断/血流预阻断Key words
Liver tumor/Liver resection/The anatomy of the blocking blood flow/Preliminary blocking blood flow to分类
医药卫生引用本文复制引用
蔡宇..肝切除术中血流阻断方式的选择[J].川北医学院学报,2016,31(5):723-726,4.基金项目
四川省教育厅项目 （）
