CAJ | 학술논문

目的探讨移植物体重比(Graft recipient body weight ratio,GRBW)对小儿活体左外叶肝移植术后短期肝功能恢复的影响.方法 2006年6月至2009年3月共施行活体肝移植25例,其中17例左外叶活体肝移植患儿作为研究对象.分别于术后1～7 d测量患儿肝脏功能,采用SPSS15.0统计软件分析了解GRBW与术后短期肝功能恢复的相关性.结果 ①肝移植术后肝功能恢复良好(P<0.000 1);②GRBW与术后谷丙转氨酶(ALT)变化呈正相关(P<0.05)、与AST变化呈负相关(P<0.05).结论左外叶小儿活体肝移植GRBW对于术后肝功能恢复意义重大,移植术中应充分保证足够的GRBW比值.
목적 탐토이식물체중비(Graft recipient body weight ratio,GRBW)대소인활체좌외협간이식술후단기간공능회복적영향.방법 2006년6월지2009년3월공시행활체간이식25례,기중17례좌외협활체간이식환인작위연구대상.분별우술후1～7 d측량환인간장공능,채용SPSS15.0통계연건분석료해GRBW여술후단기간공능회복적상관성.결과 ①간이식술후간공능회복량호(P<0.000 1);②GRBW여술후곡병전안매(ALT)변화정정상관(P<0.05)、여AST변화정부상관(P<0.05).결론 좌외협소인활체간이식GRBW대우술후간공능회복의의중대,이식술중응충분보증족구적GRBW비치.
Objective To investigate the impact of graft weight/recipient body weight ratio(G/R ratio)on the short-term postoperative liver function of the children with left lateral lobe living donor transplantation.Methods Between June 2006 and March 2009,25 patients underwent living donor transplantation at this center.Among them,17 patients underwent left lateral lobe living donor whose 1 t0 7 days' postoperative liver function were retrospectively analyzed to investigate the impact of graft weight/recipient bodv weight ratio(G/R ratio)on the short-term postoperative liver function.Results ①The liver function recovered well after operation(P<0.000 1);②GRBW was positively correlated to glutamate-pyruvate transaminase(ALT),however it was negatively correlated to AST(P<0.05).Conclusions Proper GRBW improves the recovery of liver function after living donor liver transplantation of the children with left lateral lobe living donor transplantation.