改良式绕肝提拉法和Pringle阻断法在肝叶切除术后肝功能变化的比较

Alteration of Postoperative Liver Functions beteen the Improved Liver Hanging Maneuver and Pringle Liver Vascular Occlusion for the Lobectomy

目的:探讨改良绕肝提拉法(Liver hanging maneuver)和Pringle阻断法在肝叶切除术后肝功能变化的比较。方法:将30例行肝叶切除术的肝癌患者分为两组:改良式绕肝提拉法无血肝切除组15例,Pringle阻断法肝切除组15例。比较两种方法行肝叶切除对术中失血量,术后肝功能指标(血清白蛋白、胆红素、转氨酶、胆碱脂酶)的影响。结果:改良式绕肝提拉法无血肝切除组术中失血量明显少于Pringle阻断法肝切除组(P<0.05),胆红素、转氨酶水平低于Pringle阻断法肝切除组(P<0.05),而血清白蛋白和胆碱脂酶水平高于Pringle阻断法肝切除组(P<0.05)。结论:改良式绕肝提拉法无血肝切除是安全实用的,具有出血少,肝功能损害轻的优点。

Objective:To explore the alteration of postoperative live functions beteen the improved liver hanging maneuver and pringle liver vascular occlusion for the lobectomy.Methods:Thirty patients underwent hemihepatectomy were divided into two groups:the improved liver hanging maneuver group(n=15)and the Pringle group(n=15).The amount of intraoperative bleeding,and changing of postoperative liver function(serum albumin,bilirubin、ALT、AST and CHE)were compared between the two groups.Results:The amount of intraopera...