CAJ | 학술논문

目的：：对比分析晚期肝癌患者中行解剖性肝切除术与非解剖性肝切除术安全性与临床疗效的优劣。方法：回顾性分析98例行肝切除术的晚期肝癌患者临床资料,59例行解剖性肝切除术的患者归入研究组、39例行非解剖性肝切除术的患者归入对照组,对比两组患者术中、术后效果。结果：(1)术中效果显示,观察组手术时间平均为(271.5±97.4)min,切缘有效率为89.8%,优于对照组(188.5±70.7)min 和53.8%,差异有统计学意义(P <0.05)；但两组术中出血量、术中输血量无统计学意义(P >0.05)；(2)观察组预后效果要优于对照组,术后3d 血清 ALT 均值为(270.5±94.1)U/L,对照组则高达(501.6±115.6)U/L,术后1年复发率、生存率也优于对照组,上述各项差异均有统计学意义(P <0.05)。结论：解剖性肝切除术具有更高的安全性与临床疗效,对于须行肝切除的晚期肝癌患者,更值得采用。
목적：：대비분석만기간암환자중행해부성간절제술여비해부성간절제술안전성여림상료효적우렬。방법：회고성분석98례행간절제술적만기간암환자림상자료,59례행해부성간절제술적환자귀입연구조、39례행비해부성간절제술적환자귀입대조조,대비량조환자술중、술후효과。결과：(1)술중효과현시,관찰조수술시간평균위(271.5±97.4)min,절연유효솔위89.8%,우우대조조(188.5±70.7)min 화53.8%,차이유통계학의의(P <0.05)；단량조술중출혈량、술중수혈량무통계학의의(P >0.05)；(2)관찰조예후효과요우우대조조,술후3d 혈청 ALT 균치위(270.5±94.1)U/L,대조조칙고체(501.6±115.6)U/L,술후1년복발솔、생존솔야우우대조조,상술각항차이균유통계학의의(P <0.05)。결론：해부성간절제술구유경고적안전성여림상료효,대우수행간절제적만기간암환자,경치득채용。
Objective:To compare and analyze the safety and the effect of anatomical hepatectomy and non-anatomical hepatectomy on patients with advanced liver cancer.Methods:Retrospectively analyze the clinical data of 98 patients with advanced liver cancer who had received hepatectomy.59 patients underwent anatomi-cal hepatectomy were defined as research group,39 patients underwent non-anatomical hepatectomy were supposed as the control group,compared intraoperative and postoperative effect in the 2 groups.Results:(1) intraoperative effect showed that,in observation group ,the average operating time was (271.5±97.4)min, the effective rate of cut edge was 89.8%,which is (188.5±70.7)min and 53.8% shorter than of the control group ,the differences was statistically significant (P <0.05);while the difference between the two groups in intraoperative blood loss,intraoperative blood transfusion were not statistically significant P >0.05).(2) in observation group ,the prognostic effect is significantly superior to that in control group,the ALT con-tained in serum within the 3 days after operation was (270.5±94.1)U/L ,while in control group ,it ws up to (501.6 ± 1 15.6)U/L,postoperative recurrence rate,survival rate within 1 year was obviously better than that of control group,the differences above are all significant,and are statistically significant(P < 0.05 ). Conclusion:Natomical hepatectomy is with higher safety and is clinically more effective ,it is worthy of adop-tion for patients with advanced liver cancer needing hepatectomy.