中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
20期
51-52
,共2页
肝细胞癌%肝切除术%出血量%术后复发
肝細胞癌%肝切除術%齣血量%術後複髮
간세포암%간절제술%출혈량%술후복발
HCC%Liver resection%Bleeding%Recurrence
目的：分析解剖型和非解剖型肝切除术对于治疗肝细胞癌的临床效果。方法将该院附属医院即将进行肝切除术的肝细胞癌患者150例随机分为解剖组和非解剖组,解剖组患者采用解剖型肝切除术,非解剖组采用非解剖肝切除术,对比两组相关指标数据。结果解剖组手术时间为(20.6±1.2)d,非解剖组为(21.6±0.8)d,解剖组与非解剖组术中出血量(mL)、术后并发症发生人数分别为院(732.8±88.6；8)、(1165.9±92.1；22)。通过对比结果进行分析,手术时间上两组比较差异无统计学意义(P>0.05),术中出血量和术后并发症的发生率解剖组要明显的低于非解剖组；对于患者1年后的复发情况来讲,解剖组患者中出现复发的数量要明显的少于非解剖组患者,差异有统计学意义(P<0.05)。结论通过该次对于本院附属医院肝细胞癌患者进行分析和比较,对于采取肝切除术进行治疗的患者采用解剖型肝切除术疗效较好,术中的安全性较高,预后复发率也较低,具有较强的可行性。
目的：分析解剖型和非解剖型肝切除術對于治療肝細胞癌的臨床效果。方法將該院附屬醫院即將進行肝切除術的肝細胞癌患者150例隨機分為解剖組和非解剖組,解剖組患者採用解剖型肝切除術,非解剖組採用非解剖肝切除術,對比兩組相關指標數據。結果解剖組手術時間為(20.6±1.2)d,非解剖組為(21.6±0.8)d,解剖組與非解剖組術中齣血量(mL)、術後併髮癥髮生人數分彆為院(732.8±88.6；8)、(1165.9±92.1；22)。通過對比結果進行分析,手術時間上兩組比較差異無統計學意義(P>0.05),術中齣血量和術後併髮癥的髮生率解剖組要明顯的低于非解剖組；對于患者1年後的複髮情況來講,解剖組患者中齣現複髮的數量要明顯的少于非解剖組患者,差異有統計學意義(P<0.05)。結論通過該次對于本院附屬醫院肝細胞癌患者進行分析和比較,對于採取肝切除術進行治療的患者採用解剖型肝切除術療效較好,術中的安全性較高,預後複髮率也較低,具有較彊的可行性。
목적：분석해부형화비해부형간절제술대우치료간세포암적림상효과。방법장해원부속의원즉장진행간절제술적간세포암환자150례수궤분위해부조화비해부조,해부조환자채용해부형간절제술,비해부조채용비해부간절제술,대비량조상관지표수거。결과해부조수술시간위(20.6±1.2)d,비해부조위(21.6±0.8)d,해부조여비해부조술중출혈량(mL)、술후병발증발생인수분별위원(732.8±88.6；8)、(1165.9±92.1；22)。통과대비결과진행분석,수술시간상량조비교차이무통계학의의(P>0.05),술중출혈량화술후병발증적발생솔해부조요명현적저우비해부조；대우환자1년후적복발정황래강,해부조환자중출현복발적수량요명현적소우비해부조환자,차이유통계학의의(P<0.05)。결론통과해차대우본원부속의원간세포암환자진행분석화비교,대우채취간절제술진행치료적환자채용해부형간절제술료효교호,술중적안전성교고,예후복발솔야교저,구유교강적가행성。
Objective To analyze the clinical results of anatomical and non-anatomical liver resection for the treatment of hepato-cellular carcinoma. Methods 150 patients with hepatocellular carcinoma who would receive liver resection in our affiliated hospital were randomly divided into dissection group and non-dissection group. The patients in the dissection group were treated with anatomical liver resection, while those in the non-dissection group with non-anatomical liver resection. Relevant indicators of the two groups were compared. Results The operative time of dissection group and of the non-dissection group were (20.6±1.2)d and(21.6±0.8)d respectively, and the difference was not statistically significant (P>0.05); the intraoperative blood loss of dissection group and of the non-dissection group were (732.8± 88.6) and (1165.9 ± 92.1) respectively, while the number of postoperative complications of the two groups were 8 and 22 respectively, and the differences were statistically significant (P<0.05);in terms of postoperative recurrence within one year, the number was obviously less in the dissection group than in the non-dissection group, and the difference was statistically significant(P<0.05). Conclusion This study indicates that the clinical result of anatomical liver resection for the treatment of patients is better, which is of high safety, low recurrence rate and strong feasibility.
