肝脏恶性肿瘤术后隔下感染的病因探讨

THE ETIOLOGY STUDY ON SUBPHRENIC INFECTION AFTER HEPATECTOMY FOR MALIGNANCY PATIENTS

为了阐明肝脏恶性肿瘤行肝切除术后膈下感染发生的高危因素，我们对１１０例肝脏恶性肿瘤施行的肝切除术进行回顾性分析，其中９例发生膈下感染，发生率８．１８％。结果表明，膈下感染的发生与肝切除范围，是否伴肝硬化背景和术中出血量有关；与原发性肝癌的病程或分期无关；术后膈下与残肝面的通畅引流是防止肝切除术后膈下感染发生的关键因素。

To clarify the high risk factors that determine subphrenic infection after hepatectomy for malignancy patients,The liver resections in 110 cases of hepatic malignancy were retrospectively analyzed.Nine patients developed subphrenic infection and the incidence of infection was 8.18%.The results of retrospective analysis showed that the high risk factors of subphrenic infection were related to the extent of liver parenchyma resection,the amounts of blood loss at operation and the hepatic cirrhosis background as well.The course of primary liver cancer was unrelated to the incidence of subphrenic infection.Postoperative adequate drainage of subdiaphragm and the raw surface of the liver was critical factor of preventing subphrenic infection.