CAJ | 학술논문

目的：比较肝癌切除术中采用肝断面对拢缝合与肝断面敞开对患者术后并发症的影响。方法：回顾分析2013年1月—2013年2月行肝癌切除术的58例患者的临床资料，其中30例在术中采用肝断面对拢缝合（缝合组），28例采用肝断面敞开（敞开组），观察并比较两组术后腹腔引流量、发热天数、肝功能及并发症发生率等。结果：缝合组术后第3天腹腔引流液量低于敞开组（P ＜0．05）；缝合组术后第1天丙氨酸氨基转移酶水平高于敞开组（P ＜0．05）。轻、中度肝硬化患者中，缝合组与敞开组术后观察指标的差异均无统计学意义。结论：肝癌切除术应根据具体的手术情况选择适当的肝断面处理方法，以减少术后并发症。
목적：비교간암절제술중채용간단면대롱봉합여간단면창개대환자술후병발증적영향。방법：회고분석2013년1월—2013년2월행간암절제술적58례환자적림상자료，기중30례재술중채용간단면대롱봉합（봉합조），28례채용간단면창개（창개조），관찰병비교량조술후복강인류량、발열천수、간공능급병발증발생솔등。결과：봉합조술후제3천복강인류액량저우창개조（P ＜0．05）；봉합조술후제1천병안산안기전이매수평고우창개조（P ＜0．05）。경、중도간경화환자중，봉합조여창개조술후관찰지표적차이균무통계학의의。결론：간암절제술응근거구체적수술정황선택괄당적간단면처리방법，이감소술후병발증。
Objective:To compare the complications of patients with hepatic remnant facet closed to those with hepatic remnant facet opened during Hepatectomy.Methods:Clinical data of 58 patients who underwent hepatectomy from January 2013 to Feb-ruary 2013 were retrospectively analyzed.Hepatic remnant facet was entirely closed in 30 cases(close group)and opened in 28 cases(open group).Postoperative abdominal drainage,duration of fever,liver function and complication rate in the two groups were observed.Results:The amount of abdominal drainage on day 3 in open group was more than that in close group(P <0.05).The level of alamine aminotransferase on day 1 after operation in close group was higher than that in open group(P <0.05).There was no significant difference on observational indexes after surgery between the two groups in mild and moderate hepatocirrhosis.Conclusions:The appropriate management of hepatic remnant facet should be chosen according to specific sta-tus of operation so as to reduce postoperative complications.