CAJ | 학술논문

目的：探讨肝癌介入手术患者术后并发症的发生情况及其合理对策。方法选取80例肝癌介入手术患者为研究对象，总结其并发症，并分析出现原因并采取对应措施，比较治疗前后患者的生活质量。结果肝肾功能损害最高，发生率为33．75％；腹痛、发热、恶心呕吐、骨髓抑制、心律失常、穿刺部位血肿和下肢动脉血栓形成发生率分别为22．5％、18．75％、22．5％、6．25％、3．75％、2．5％。肝肾功能损害发生率和其他并发症发生率比较，差异有统计学意义（ P＜0．05）。生活质量上，并发症处理前躯体功能、社会功能、心理功能、物质功能分别为（41．34±2．54）分、（50．86±10．56）分、（36．34±4．27）分、（43．37±6．83）分，处理后分别为（56．34±2．86）分、（64．75±11．54）分、（52．83±8．35）分、（54．74±8．24）分，处理前后比较差异有统计学意义（P＜0．05）。结论肝癌介入手术术后并发症有肝肾功能损伤、胃肠道反应等，积极采取措施后预后较好。
목적：탐토간암개입수술환자술후병발증적발생정황급기합리대책。방법선취80례간암개입수술환자위연구대상，총결기병발증，병분석출현원인병채취대응조시，비교치료전후환자적생활질량。결과간신공능손해최고，발생솔위33．75％；복통、발열、악심구토、골수억제、심률실상、천자부위혈종화하지동맥혈전형성발생솔분별위22．5％、18．75％、22．5％、6．25％、3．75％、2．5％。간신공능손해발생솔화기타병발증발생솔비교，차이유통계학의의（ P＜0．05）。생활질량상，병발증처리전구체공능、사회공능、심리공능、물질공능분별위（41．34±2．54）분、（50．86±10．56）분、（36．34±4．27）분、（43．37±6．83）분，처리후분별위（56．34±2．86）분、（64．75±11．54）분、（52．83±8．35）분、（54．74±8．24）분，처리전후비교차이유통계학의의（P＜0．05）。결론간암개입수술술후병발증유간신공능손상、위장도반응등，적겁채취조시후예후교호。
Objective To investigate the postoperative complications of liver cancer patients treated with interventional surgery and treatment .Methods 80 cases of liver cancer treated with interventional surgery were chosen ,the complications were summarized,and the countermeasures were analyzed .Life quality before and after treatment were compared .Results The liver and kidney function lesions were the highest ,the incidence rate was 33.75%,the abdominal pain,fever,nausea and vomiting, bone marrow suppression , arrhythmia, puncture hematoma and lower limb arterial thrombosis incidence rates were 22.5%, 18.75%,22.5%,6.25%,3.75%,2.5%.Compared with other complications ,the incidence rate of liver and kidney function le-sions were higher,there had significant difference (P<0.05).The physical function,social function,psychological function,phys-ical function before treatment were (41.34 ±2.54),(50.86 ±10.56),(36.34 ±4.27)and(43.37 ±6.83),while after treatment were(56.34 ±2.86),(64.75 ±11.54),(52.83 ±8.35)and(54.74 ±8.24).Conclusion The postoperative complications of patients with liver cancer treated with interventional surgery are liver and kidney function damage ,gastrointestinal tract reaction , which should be given active measures .