CAJ | 학술논문

目的：探讨肝切除术中止血方法的临床价值及安全性。方法回顾性分析绵阳市中心医院从2012年5月~2015年5月的262例开腹肝切除病例的临床资料。结果肝左外叶切除102例，左半肝39例，右半肝34例，肝段51例，局部性肝切除42例。45例采用间断性Pringle法行全入肝血流阻断，52例行选择性入肝血流阻断，3例运用肝悬吊法联合入肝血流阻断，6例不阻断肝门的捆绑式血流阻断。利用超声刀肝断面止血处理85例，超声吸引刀（CUSA）15例，百克钳40例，射频凝血器21例。结论基层医院需开展肝切除手术，术中根据病情，因地制宜，掌握肝切除止血方法，并灵活运用，是安全可行的。
목적：탐토간절제술중지혈방법적림상개치급안전성。방법회고성분석면양시중심의원종2012년5월~2015년5월적262례개복간절제병례적림상자료。결과간좌외협절제102례，좌반간39례，우반간34례，간단51례，국부성간절제42례。45례채용간단성Pringle법행전입간혈류조단，52례행선택성입간혈류조단，3례운용간현조법연합입간혈류조단，6례불조단간문적곤방식혈류조단。이용초성도간단면지혈처리85례，초성흡인도（CUSA）15례，백극겸40례，사빈응혈기21례。결론기층의원수개전간절제수술，술중근거병정，인지제의，장악간절제지혈방법，병령활운용，시안전가행적。
Objective To explore the clinical significance and safey of hepatic vascular occlusion to hepatectomy in primary hospitol.Methods Retrospective analysis the clinic data of 262 cases of open hepatectomy from may 2012 to may 2015.Results Al cases of liver resection including left lateral lobe 102 cases,left liver 39 cases,Right hepatic 34 cases,liver segment 51 cases,Local resection 42 cases.Pringle maneuver was used in 45 cases,selective hepatic Vascular Occlusion in 52 cases,47 patients using liver hanging maneuver combining with selective liver inflow and outflow vascul exclusions,6 cases Bundled blocking blood flow without liver inflow vascul exclusions.Using ultrasonic knife liver section hemostatic treatment of 85 cases,Cavitron Ultrasonic Surgical Aspirator(CUSA) 15 cases,Hectogram pliers 40 cases,radiofrequency coagulation device 21 cases.Conclusion In primary hospitals,it's safe and feasible to car y out liver resection surgery,intraoperative according to condition,adjust measures to local conditions,to grasp the method of liver resection hemostasis.