肝切除时不同肝创面处理后的封闭效果对比分析

Effect of treatment with different wound closure in 965 cases of liver resection

目的探讨原发性肝癌(下简称肝癌)肝切除时三种肝创面处理方法的效果。方法对965例施行肝癌患者肝叶切除术的肝创面分别采用大网膜覆盖(A组63例)、对拢缝合法(B组565例)和生物蛋白胶喷凝法(C组337例)处理,观察三组术后腹腔引流量、发热天数和并发症发生率。结果 B组和C组的腹腔引流量均少于A组,三种方法处理肝创面的发热天数和并发症发生率无差异。结论三种方法是在长期的临床实践中不断提高的过程中形成的,每种方法有其自身的优点和不足。在应用过程中应灵活掌握,也可联合应用。

Objective To explore the different effects of three wound treatment after liver resection in patients with primary liver cancer. Methods 965 cases of liver resection were treated with omentum covering method（group A of 63 patients） ,suture on the rope （group B of 565 cases） ,fibrin glue spray coagulationfgroup C of 337 cases） respec- tively. We deserved postoperative abdominal drainage,fever days and complication rate in the three groups. Results Peritoneal drainage volume in group B and C was less than in group A. The three approaches to liver wounds were no difference in heat days and complication rate. Conclusions of clinical practice. But each has its own advantages and flexibility, but also in combination. The formation of the three methods is in the long process disadvantages. In the application process, they should be