严重肝损伤86例的手术治疗

Surgical management for 86 cases of severe liver injury

目的 探讨严重肝损伤的术式选择。 方法 总结 1 989年 1月～ 2 0 0 1年 1 2月收治的 86例严重肝损伤的临床资料。其中Ⅲ级 43例 ,Ⅳ级 32例 ,Ⅴ级 1 1例。合并肝后腔静脉和主肝静脉损伤 1 1例。全部采用手术治疗。 结果 治愈 66例 ( 76.7% ) ,死亡 2 0例 ( 2 3.3% )。术后出现并发症 2 3例 ( 2 6.7% )。 结论 正确的术式选择是提高严重肝损伤疗效的关键。肝外伤伴肝静脉损伤时 ,结扎 1～

Objective To explore the surgical alternatives to severe liver injuries. Methods The data of 86 cases with severe liver injury treated surgically from January 1989 to December 2001 were summarized. There were 43 cases with grade Ⅲ injury, 32 with grade Ⅳ and 11 with grade Ⅴ. Eleven cases complicated by injuries on cardinal vein and posthepatic vein were all treated surgically. Results Of all, 66 cases (76.7%) were cured and 20 (23.3%) died. The post operative complication occurred in 23 cases (26.7%). Conclusions Correct surgical procedure for severe liver injury is crucial for a better curative effect. It is safe and effective to ligate one or two hepatic veins when the liver trauma is complicated by hepatic vein injuries.