摘要
目的探讨Glisson蒂一并处理法肝切除术在肝癌切除术中的可行性及临床对照。方法在2006年8月—2013年8月广西玉林市第一医院收治的肝癌患者中随机抽取92例,按照随机数字表法分别试验组(Glisson蒂一并处理法肝切除术,n=46)与对照组(Pringle法肝切除术,n=46)。对比两组手术时间、术中出血量、肝功能指标、并发症发生率及复发率。结果两组患者手术时间差异无统计学意义(P>0.05);两组术中出血量、肝功能指标、并发症发生率对比差异有统计学意义(P<0.05);术后随访1年,试验组、对照组复发率分别为4.3%、21.7%(P<0.05)。结论 Glisson蒂一并处理法肝切除术在肝癌切除术中的应用,能取得较Pringle法肝切除术更为显著的效果,值得进行深入研究和推广。
Objective To investigate the Glisson pedicle be dealt with hepatic resection feasibility and clinical control in HCC resection. Methods In August 2006 to August 2013 in Yulin city of Guangxi in the first hospital of liver cancer patients were randomly selected in 92 cases, according to the random number table method respectively in the test group（Glissonean pedicle in conjunction with the treatment method for liver resection, n = 46） and control group（Pringle hepatectomy, n = 46）. The operation time, blood loss, liver function index, complication rate and recurrence rate were compared between the two groups. Results Two groups of patients with operation time no significant difference（P〈0.05）; bleeding during operation in both groups, the indexes of liver function, complications occurrence rate compared with statistical significance（P〈0.05）; and were followed up for 1 year after operation, experimental group, control group, the recurrence rate was 4.3%, 21.7%（P〈0.05）. Conclusion Glisson pedicle be dealt with hepatic resection in hepatocellular carcinoma resection application, and can obtain more Pringle maneuver hepatectomy more significant effect should be further research and extension.
出处
《中外医疗》
2016年第26期13-16,共4页
China & Foreign Medical Treatment
