CAJ | 학술논문

目的探讨不同肝脏血流阻断方法对肝脏手术的手术安全性差异．方法60例肝切除术患者，按不同肝脏血流阻断方法分组，手术前均进行手术前评估．结果术后第1天Pringle’s法手肝功能ALT平均为（395.0±220.2） U/L，AST平均为（415.3±311.0） U/L；区域性肝脏血流阻断组ALT平均为（110.2士53.0） U/L， AST平均为（125.6±78.5） U/L；肝脏血流不阻断肝脏手术组ALT平均为（98.9士32.2） U/L， AST平均为（96.2±66.5） U/L．术后肝功能损伤比较，Pringle’s组明显大于区域性肝脏血流阻断或肝脏血流不阻断肝脏手术组，差异有统计学意义（P＜0.05）．结论区域性肝脏血流阻断或肝脏血流不阻断可以减少了术后并发症的发生，同时还适当地扩大了肝切除的适应证．
목적탐토불동간장혈류조단방법대간장수술적수술안전성차이．방법60례간절제술환자，안불동간장혈류조단방법분조，수술전균진행수술전평고．결과술후제1천Pringle’s법수간공능ALT평균위（395.0±220.2） U/L，AST평균위（415.3±311.0） U/L；구역성간장혈류조단조ALT평균위（110.2사53.0） U/L， AST평균위（125.6±78.5） U/L；간장혈류불조단간장수술조ALT평균위（98.9사32.2） U/L， AST평균위（96.2±66.5） U/L．술후간공능손상비교，Pringle’s조명현대우구역성간장혈류조단혹간장혈류불조단간장수술조，차이유통계학의의（P＜0.05）．결론구역성간장혈류조단혹간장혈류불조단가이감소료술후병발증적발생，동시환괄당지확대료간절제적괄응증．
Objective To investigate the differences in the safety of the operation of different hepatic vascular exclusion for liver surgery. Methods Sixty patients with liver resection were grouped by different hepatic blood flow blocking methods, and given pre-operative assessment prior to surgery. Results On the first day after surgery, the average levels of ALT and AST were (395.0 ± 220.2) U/L and (415.3±311.0) U/L in patients who received Pringle’s method (110.2±53.0) U/L and (125.6±78.5) U/L in patients who received regional hepatic vascular exclusion, (98.9±32.2) U/L and (96.2 ±66.5) U/L in patients who didn't receive hepatic vascular exclusion, respectively. Postoperative liver function damage was more serious in patients who received Pringle's method than patients who received regional hepatic vascular exclusion or patients who didn't receive hepatic vascular exclusion, the difference was statistically significant (P<0.05) .Conclusion Regional hepatic vascular exclusion or not can not only reduce the incidence of postoperative complications, but also expand the indications for liver resection.