超声刀技术在肝肿瘤切除术及活体肝移植术中的应用

The application of ultrasonic dissector(CUSA) in hepatectomy and partial liver transplantation

目的:观察超声刀技术在肝肿瘤切除术及活体肝移植术中应用的临床效果。方法:回顾性对比采用超声刀技术和未采用超声刀技术在肝肿瘤切除术及活体肝移植术中临床效果差异。结果:采用超声刀技术的肝部分切除术患者组与未采用超声刀技术组的患者相比术中出血量、术后24h引流量明显减少,术后1周天冬氨酸氨基转移酶(ALT)明显降低。结论:超声刀技术在肝肿瘤切除术及活体肝移植术中是一种安全、有效的工具,可进一步推广及运用。

Objective：To evaluate the clinical effect of ultrasonic dissector （CUSA） in hepatectomy and partial liver transplantation. Methods.The clinical data were retrospectively analyzed among group of CUSA and without CUSA method. Results：The intraoperative bleeding and postoperative drainage of the CUSA group were significantly less than the group of without CUSA method. The aminotransferase （ALT） of with CUSA group also is lower than without CUSA group, Conclusion：CUSA is a kind of safe and effective instrument in hepatectomy, which should be suggested to apply in clinic.