CAJ | 학술논문

目的：观察和探讨精准肝切除术治疗肝胆疾病的临床疗效性。方法入选2010年1月-2014年6月于该院进行肝切除手术的肝胆疾病患者65例作为研究对象，根据选择切除方法不同分为观察组32例和对照组33例，其中观察组给予精准肝切除术，而对照组则给予常规切除术，比较两组患者术中情况、术后恢复情况和并发症发生情况。结果观察组手术时间明显延长，差异有统计学意义(P<0.05)；观察组术中出血量明显减少，住院时间明显缩短，差异有统计学意义(P<0.05)；观察组术后肝功能数值明显低于对照组，差异有统计学意义(P<0.05)；两组患者术后均出现并发症，观察组患者发生急性肝衰竭腹水1例，胸腔感染1例，并发症发生率为6.25%；对照组出现急性肝衰竭腹水2例，胸腔感染2例，肺感染3例，并发症发生率为21.21%；两组并发症发生率差异有统计学意义(P<0.05)。结论精准肝切除术疗效性明显优于常规肝切除术，能够有效降低并发症，同时有利于术后恢复，值得临床推广运用。
목적：관찰화탐토정준간절제술치료간담질병적림상료효성。방법입선2010년1월-2014년6월우해원진행간절제수술적간담질병환자65례작위연구대상，근거선택절제방법불동분위관찰조32례화대조조33례，기중관찰조급여정준간절제술，이대조조칙급여상규절제술，비교량조환자술중정황、술후회복정황화병발증발생정황。결과관찰조수술시간명현연장，차이유통계학의의(P<0.05)；관찰조술중출혈량명현감소，주원시간명현축단，차이유통계학의의(P<0.05)；관찰조술후간공능수치명현저우대조조，차이유통계학의의(P<0.05)；량조환자술후균출현병발증，관찰조환자발생급성간쇠갈복수1례，흉강감염1례，병발증발생솔위6.25%；대조조출현급성간쇠갈복수2례，흉강감염2례，폐감염3례，병발증발생솔위21.21%；량조병발증발생솔차이유통계학의의(P<0.05)。결론정준간절제술료효성명현우우상규간절제술，능구유효강저병발증，동시유리우술후회복，치득림상추엄운용。
Objective To observe and discuss the clinical efficiency of precise hepatectomy for the treatment of hepatobiliary dis-eases. Methods 65 patients with hepatobiliary diseases underwent hepatectomy in our hospital from January 2010 to June 2014 were chosen as the research objects. And they were divided into the observation group with 32 cases and control group with 33 cases according to different surgical methods. The observation group was given precise hepatectomy while the control group was given conventional hepatectomy. The intraoperative conditions, postoperative rehabilitation conditions and incidence of complica-tions of the 2 groups were compared. Results The operation time of the observation group was obviously lengthened, the difference was statistical, P<0.05;the bleeding amount during the operation of the observation group was obviously less than that of the con-trol group, and the length of stay was much shorter, the differences were significant, P<0.05; the values of liver function of the ob-servation group after the operation were obviously lower than those of the control group, P<0.05; complications occurred in both groups after operation, there were 1 case with acute hepatic failure combined with ascites and 1 case with chest infection in the observation group with a complication occurrence rate of 6.25%, and there were 2 cases with acute hepatic failure combined with ascites, 2 cases with chest infection and 3 cases with lung infection in the control group with a complication occurrence rate of 21.21%, the difference in the incidence of complications between the two groups were significant, P<0.05. Conclusion Precise hepatectomy has an obvious better clinical effect for the treatment of hepatobiliary diseases. It can effectively reduce the complica-tions and accelerate postoperative rehabilitation, so it is worth of being popularized clinically.