临床医学
臨床醫學
림상의학
CLINICAL MEDICINE
2009年
2期
10-11
,共2页
陈钦寿%叶观瑞%车斯尧%潘思波%黄燕金%梁永任%廖均平
陳欽壽%葉觀瑞%車斯堯%潘思波%黃燕金%樑永任%廖均平
진흠수%협관서%차사요%반사파%황연금%량영임%료균평
肝左外叶切除术%并发症%预防
肝左外葉切除術%併髮癥%預防
간좌외협절제술%병발증%예방
The hepatic left lateral lobectomy%Complication%Prevention
目的 探讨肝左外叶切除术并发症的发生原因和防治方法.方法 回顾性分析379例肝左外叶切除病例的临床资料.结果 379例肝左外叶切除病例中,肝断面出血300 ml以上有27例,发生率7.1%;脾撕裂出血5例,发生率1.3%;术后胆漏10例,发生率2.6%;肝断面感染8例,发生率2.1%;左胸腔积液7例,发生率1.8%.结论 在熟练细致的操作下,肝左外叶切除术并发症的发生率可降低.
目的 探討肝左外葉切除術併髮癥的髮生原因和防治方法.方法 迴顧性分析379例肝左外葉切除病例的臨床資料.結果 379例肝左外葉切除病例中,肝斷麵齣血300 ml以上有27例,髮生率7.1%;脾撕裂齣血5例,髮生率1.3%;術後膽漏10例,髮生率2.6%;肝斷麵感染8例,髮生率2.1%;左胸腔積液7例,髮生率1.8%.結論 在熟練細緻的操作下,肝左外葉切除術併髮癥的髮生率可降低.
목적 탐토간좌외협절제술병발증적발생원인화방치방법.방법 회고성분석379례간좌외협절제병례적림상자료.결과 379례간좌외협절제병례중,간단면출혈300 ml이상유27례,발생솔7.1%;비시렬출혈5례,발생솔1.3%;술후담루10례,발생솔2.6%;간단면감염8례,발생솔2.1%;좌흉강적액7례,발생솔1.8%.결론 재숙련세치적조작하,간좌외협절제술병발증적발생솔가강저.
Objective To discuss the causes,prevention and cure of the complications generated by the hepatic left lateral lobectomy.Methods We retrospectively analysed the clinical data of 379 cases of hepatic left lateral lobectomy.Results In all the 379 cases,we can find that in 27cases,which was about 7.1%,the volume of bleed of the liver cut was more than 300 ml;the bleeding happened as the laceration of spleen in 5 cases,which was about 1.3%;biliary fistula happened after the surgery in 10 cases,which was about 2.6%;the infection of the liver cut happened in 8 cases,which was about 2.1%;and the left pleural effusion happened in 7 cases,which was about 1.8%.Conclusion The incident of the complications of the hepatic left lateral lobectomy can be reduced by the skilled and micromesh operation.
