泰绫在肝血管瘤术中的应用

Application of Thai Silk in Hepatic Hemangioma Surgery

目的观察泰绫在肝血管瘤手术中的止血作用,综合评价泰绫的止血疗效。方法将深圳市龙岗地区医院于2008年11月-2011年9月收治的147例肝血管瘤患者随机分为实验组和对照组,其中实验组72例,对照75例。肝血管瘤切除方法主要为半肝切除、肝叶切除、段切除或局部切除以及刮吸解剖法,手术过程中实验组用泰绫止血,对照组用生物蛋白胶止血,比较两组术后1 d,2 d,3 d的引流量和引流液中红细胞的数目以及最终引流量的总量和拔管时间。结果在术后1 d,2 d,3 d的引流量、总引流量、引流液中红细胞数目和最终拔管时间方面实验组结果各指标均优于对照组(P<0.05)。结论泰绫在肝血管瘤手术中相比较其他的止血材料有较好的止血作用。

Objective To observe the ability of Thai silk stopping bleeding in hepatic hemangioma surgery and evaluate the efficacy of Thai silk for the hemostasis.Methods The 147 cases of hepatic hemangioma patients received in our hospital from November 2008 to September 2011 and these patients were divided into experimental and control groups randomly： 72 cases in experimental group and 75 cases in control group.The methods of hepatic hemangioma resection included half liver resection,liver resection,segmental resection or local excision and curettage and aspiration dissection,the experimental group used Thai silk as hemostasis material in surgical procedure and the control group was treated with fibrin glue to stop bleeding.Compare the drainage fluid after 1d,2d,3d and the number of red blood cells in drainage fluid the as well as the total amount of the final drainage and time to extubation between the two groups.Results The results of drainage fluid after postoperative 1d,2d,3d,total drainage,Drainage,red blood cell number and final extubation time in the experimental group was better than that in the control group（P0.05）.Conclusion Thai silk in the hepatic hemangioma surgery has good hemostatic effect as compared to other scholarly material.