CAJ | 학술논문

目的评估新型双极射频装置Habib 4X在肝肿瘤切除术中的价值.方法回顾性分析从2010年3月至2011年7月在浙江大学第二附属医院手术治疗的98例肝肿瘤患者的临床资料,并根据所行术式分为Habib组(44例)和对照组(54例,采用传统手术方法).观察评估指标为:肝肿瘤切除时间、Pringle's肝门阻断法使用、术中出血量、输血量、术后肝功能恢复及术后并发症、病死率、复发情况等.结果 Habib组和对照组平均切肝时间分别为(67 ±22)和(93±23) min,差异有统计学意义(P =0.000).Habib组需要肝门阻断率低于对照组[22.7％(10/44)比57.4(31/54),P=0.00l],平均肝门阻断时间也较短[(7±2)vs (18±6) min,P=0.001].Habib组平均出血量显著低于对照组[(243±132)比(500±421) ml,P=0.002].术后Habib组肝功能恢复优于传统组,且Habib组术后无住院死亡患者,术后随访18个月无切缘复发病例.结论 Habib 4X双极射频预凝固辅助肝肿瘤切除可以显著减少手术出血量,安全可靠且缩短手术时间,减少肝门阻断时间甚至无需阻断肝门,最大程度的减少了对肝功能的影响.
목적 평고신형쌍겁사빈장치Habib 4X재간종류절제술중적개치.방법 회고성분석종2010년3월지2011년7월재절강대학제이부속의원수술치료적98례간종류환자적림상자료,병근거소행술식분위Habib조(44례)화대조조(54례,채용전통수술방법).관찰평고지표위:간종류절제시간、Pringle's간문조단법사용、술중출혈량、수혈량、술후간공능회복급술후병발증、병사솔、복발정황등.결과 Habib조화대조조평균절간시간분별위(67 ±22)화(93±23) min,차이유통계학의의(P =0.000).Habib조수요간문조단솔저우대조조[22.7％(10/44)비57.4(31/54),P=0.00l],평균간문조단시간야교단[(7±2)vs (18±6) min,P=0.001].Habib조평균출혈량현저저우대조조[(243±132)비(500±421) ml,P=0.002].술후Habib조간공능회복우우전통조,차Habib조술후무주원사망환자,술후수방18개월무절연복발병례.결론 Habib 4X쌍겁사빈예응고보조간종류절제가이현저감소수술출혈량,안전가고차축단수술시간,감소간문조단시간심지무수조단간문,최대정도적감소료대간공능적영향.
Objective To assess the application value of a new radiofrequency device Habib 4X in liver resection.Methods A restrospective study was performed during March 2010 to July 2011.Forty-four patients underwent liver resection with radiofrequency device Habib 4X and another 54 patients traditional liver resection.Intraoperative blood loss,blood transfusion,Pringle' s maneuver requirement,liver parenchyma transaction time,liver function recovery,complications,mortality and recurrence were recorded.Results The mean resection time was (67 ± 22) min for Habib 4X group versus (93 ± 23) min for traditional group (P =0.000).Pringle's maneuver was required in 10 patients (22.7％) for Habib 4X group and 31 (57.4％) for traditional group (P =0.001).The mean blocking time was (7 ± 2) vs (18 ± 6) min (P =0.001),mean blood loss volume (243 ± 132)vs (500 ±421) ml (P =0.002).Postoperative recovery of liver function was better in Habib 4X group than traditional group.None developed mortality in Habib 4X group.And no resection margin recurred during a 18-month follow-up.Conclusions Bipolar radiofrequency device Habib 4X is recommended for precoagulation in hepatectomy.And the advantages of minimized blood loss and reduced resection time result in its lower rates of morbidity and mortality.