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精准肝切除与非规则性肝切除治疗肝癌的疗效分析 被引量:19

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摘要 目的探讨精准肝切除与非规则性肝切除术治疗肝癌的临床效果。方法采用非规则性肝切除(38例)与精准肝切除(21例)治疗肝癌,比较两种术式围手术期和随访情况,包括术中出血量和输血量、术后AST水平、标本切缘阳性率、并发症发生率、术后1年复发率和生存率等进行数据分析,对随访1~2年的临床资料亦进行分析。结果全组无围手术期死亡。精准组和非规则组术中失血量无统计学差异[(650±610)mL vs.(1050±910)mL,t=1.628,P>0.05];精准组术中输血量较非规则组少[(350±250)mL vs.(750±500)mL,t=2.520,P<0.05];精准组术后AST上升幅度较非规则组小[(169±131)U/L vs.(350±293)U/L,t=2.455,P<0.05];肿瘤标本切缘阳性率分别为4.8%(1/21)和21.1%(8/38)(P<0.05);围手术期并发症的发生率精准组较非规则组低[33.3%(7/21)vs.71.1%(27/38),P<0.05];术后1年肿瘤复发率精准组较非规则组低[23.8%(5/21)vs.44.7%(17/38)];术后1年生存率两组无统计学差异[85.7%(18/21)和78.9%(30/38),P>0.05]。结论精准肝切除较之非规则性肝切除术治疗肝癌,手术损伤小、并发症少、术后恢复快、疗效较好。[中国普通外科杂志,2011,20(7):784-786]
出处 《中国普通外科杂志》 CAS CSCD 北大核心 2011年第7期784-786,共3页 China Journal of General Surgery
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