CAJ | 학술논문

目的：对比精准肝蒂解剖法肝段切除术和非规则性肝切除法治疗肝癌的疗效及安全性,分析精准肝蒂解剖法肝段切除术的临床应用价值。方法选取2009年3月至2013年3月期间在我院住院治疗的肝细胞性肝癌患者120例,对其临床资料进行回顾性分析,根据患者的病情特点及治疗需要分为实验组和对照组,实验组患者的治疗方法是精准肝蒂解剖法肝段切除术,对照组则为非规则性肝切除术。比较2种手术方法的疗效、并发症以及复发率情况。结果实验组患者的手术时间、术中出血量、住院时间及住院费用均小于对照组,2组比较差异具有统计学意义(P<0.05)。实验组的并发症发生率为10.0%,复发率为13.3%；对照组的并发症发生率为33.3%,复发率为35.0%,2组比较差异具有统计学意义(P<0.05)。实验组的谷草转氨酶和谷丙转氨酶水平明显低于对照组,2组比较差异具有统计学意义(P<0.05)。结论精准肝蒂解剖法肝段切除术的疗效显著,并发症发生率低,不易复发,具有一定的临床应用价值。
목적：대비정준간체해부법간단절제술화비규칙성간절제법치료간암적료효급안전성,분석정준간체해부법간단절제술적림상응용개치。방법선취2009년3월지2013년3월기간재아원주원치료적간세포성간암환자120례,대기림상자료진행회고성분석,근거환자적병정특점급치료수요분위실험조화대조조,실험조환자적치료방법시정준간체해부법간단절제술,대조조칙위비규칙성간절제술。비교2충수술방법적료효、병발증이급복발솔정황。결과실험조환자적수술시간、술중출혈량、주원시간급주원비용균소우대조조,2조비교차이구유통계학의의(P<0.05)。실험조적병발증발생솔위10.0%,복발솔위13.3%；대조조적병발증발생솔위33.3%,복발솔위35.0%,2조비교차이구유통계학의의(P<0.05)。실험조적곡초전안매화곡병전안매수평명현저우대조조,2조비교차이구유통계학의의(P<0.05)。결론정준간체해부법간단절제술적료효현저,병발증발생솔저,불역복발,구유일정적림상응용개치。
Objective To compare the efficacy and safety of precise hepatic pedicle anatomic hepatectomy and the irregular hepatecto-my method, and to analyze the clinical application value of precise hepatic pedicle dissection. Methods The clinical data of 120 patients with hepatocellular carcinoma treated in our hospital from Mar. 2009 to Mar. 2013 were analyzed retrospectively, and they were divided into the experimental group and the control group according to the patients’ clinical characteristics and their needs of treatment. The experimental group were given precise hepatic pedicle dissection, while the control group were given irregular liver excision. The effect, complications and recurrence rate of the two methods were compared. Results The operation time, the volume of blood during operation, hospitalization time and the cost of hospitalization of the experimental group were were less than those of the control group with statistically significant difference between the two groups (P<0. 05). The incidence of complications in the experimental group was 10. 0%, recurrence rate was 13. 3%;whereas in the control group, the incidence rate was 33. 3%, the recurrence rate was 35%, it is of significant differences between the two groups (P<0. 05). The aspartate aminotransferase and alanine aminotransferase levels of the experimental group were significantly lower than those of the control group with a statistically significant difference (P<0. 05). Conclusion The precise hepatic pedicle dissection is of significant efficacy, low complication and relapse rate, and it is of certain clinical application value.