以解剖性肝切除为基础的精准肝切除治疗肝胆恶性肿瘤的效果及并发症分析

Effect and Complications Analysis of Precise Hepatectomy Based on Anatomical Hepatectomy in the Treatment of Hepatobiliary Malignancy

目的:分析以解剖性肝切除为基础的精准肝切除治疗肝胆恶性肿瘤中的效果及并发症。方法:选取2019年6月-2020年12月入住本院接受治疗的94例肝胆恶性肿瘤患者,采用随机分组方法将其分为试验组与对照组,每组47例。对照组行手术切除治疗,试验组行以解剖性肝切除为基础的精准肝切除,对比两组临床指标与并发症发生率。结果:试验组排气时间为(26.91±1.21)h,进食时间为(27.15±1.26)h,住院时间为(9.65±1.54)d,引流管留置时间为(5.43±1.33)d;对照组排气时间为(31.33±2.93)h,进食时间为(33.56±2.36)h,住院时间为(15.89±2.43)d,引流管留置时间为(9.65±1.65)d,试验组各项指标均优于对照组(P<0.05)。试验组总满意度为97.87%,对照组总满意度为82.98%,试验组优于对照组(P<0.05)。试验组并发症发生率为4.26%,对照组并发症总发生率为23.40%,对照组高于试验组(P<0.05)。结论:以解剖性肝切除作为基础技术的精准肝切除技术可以用于治疗肝胆恶性肿瘤患者,可改善临床指标,患者并发症发生率较低。

Objective:To analyze the effect and complications of precise hepatectomy based on anatomical hepatectomy in the treatment of hepatobiliary malignancy.Method:From June 2019 to December 2020,a total of 94 patients with hepatobiliary malignancy admitted to our hospital were selected and randomly divided into experimental group and control group,47 cases in each group.The control group was treated with surgical resection,and the experimental group was treated with precise hepatectomy based on anatomical hepatectomy.The clinical indicators and complication rate of the two groups were compared.Result:The exhaust time of experimental group was(26.91±1.21)h,feeding time was(27.15±1.26)h,hospitalization time was(9.65±1.54)d,drainage tube indwelling time was(5.43±1.33)d;the exhaust time of control group was(31.33±2.93)h,feeding time was(33.56±2.36)h,hospitalization time was(15.89±2.43)d,drainage tube indwelling time was(9.65±1.65)d,all indexes in the experimental group were better than those in the control group(P<0.05).The total satisfaction of the experimental group was 97.87%,and that of the control group was 82.98%the experimental group was better than the control group(P<0.05).The total incidence of complications in the experimental group was 4.26%,and that in the control group was 23.40%,which was higher than that in the experimental group(P<0.05).Conclusion:Precise hepatectomy based on anatomical hepatectomy can be used in the treatment of patients with hepatobiliary malignancy,and improve the clinical indexes,and the incidence of complications is lower.