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Pringle法与肝下下腔静脉阻断联合Pringle法在肝脏巨大血管瘤切除术中的应用效果评价

张华安 周晓芳

张华安, 周晓芳. Pringle法与肝下下腔静脉阻断联合Pringle法在肝脏巨大血管瘤切除术中的应用效果评价[J]. 临床肝胆病杂志, 2016, 32(2): 317-319. DOI: 10.3969/j.issn.1001-5256.2016.02.024
引用本文: 张华安, 周晓芳. Pringle法与肝下下腔静脉阻断联合Pringle法在肝脏巨大血管瘤切除术中的应用效果评价[J]. 临床肝胆病杂志, 2016, 32(2): 317-319. DOI: 10.3969/j.issn.1001-5256.2016.02.024
Zhang HuaAn, Zhou XiaoFang. Effects of two methods for hepatic vascular occlusion in resection of giant hepatic hemangioma[J]. J Clin Hepatol, 2016, 32(2): 317-319. DOI: 10.3969/j.issn.1001-5256.2016.02.024
Citation: Zhang HuaAn, Zhou XiaoFang. Effects of two methods for hepatic vascular occlusion in resection of giant hepatic hemangioma[J]. J Clin Hepatol, 2016, 32(2): 317-319. DOI: 10.3969/j.issn.1001-5256.2016.02.024

Pringle法与肝下下腔静脉阻断联合Pringle法在肝脏巨大血管瘤切除术中的应用效果评价

DOI: 10.3969/j.issn.1001-5256.2016.02.024
详细信息
  • 中图分类号: R735.7

Effects of two methods for hepatic vascular occlusion in resection of giant hepatic hemangioma

  • 摘要: 目的评价两种不同的入肝血流阻断方式在肝脏巨大肝血管瘤切除术中的应用效果。方法选取2008年1月-2014年12月于天门市中医医院住院的肝脏巨大血管瘤患者20例,将其分为A、B两组,每组10例。A组采用Pringle法进行肝血流阻断,B组采用肝下下腔静脉阻断联合Pringle法阻断入肝血流。比较两组患者的手术时间、肝门血流阻断时间、术中出血量、输血率以及术后肝功能指标。计量资料组间比较采用t检验,计数资料组间比较采用Fisher精确检验。结果两组患者手术时间、肝门血流阻段时间比较,差异均无统计学意义(P值均>0.05);B组患者的术中出血量、输血量及输血率明显低于A组,差异均有统计学意义(P值均<0.05);与A组相比,B组患者术后第3天及第7天的ALT、AST及TBil水平均较低,差异均有统计学意义(P值均<0.05);两组术后并发症发生率差异均无统计学意义(P值均>0.05)。结论肝下下腔静脉阻断联合Pringle法阻断入肝血流在巨大血管瘤切除术中不仅能够减少术中失血量,而且有利于患者术后肝功能的恢复,值得在临床上推广应用。

     

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出版历程
  • 收稿日期:  2015-06-29
  • 出版日期:  2016-02-20
  • 刊出日期:  2016-02-20
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