CAJ | 학술논문

目的探讨超声定位下美兰染色行肝段切除的可行性及效果.方法回顾性分析近3年收治的16例超声定位下美兰染色行肝段切除的病例,与16例传统肝切除病例做对比分析.结果所有患者均成功行超声定位下美兰染色肝段定位,对于Ⅳ段及Ⅴ、Ⅷ段染色需酌情使用反染法.染色后肝段切除组术中出血较传统手术组少且差异有统计学意义(t=3.011,P=0.009),但手术时间较传统手术组长(t=5.423,P=0.000 07).2组在术后并发症方面无差异,染色后切除组肿瘤复发率6.25％,传统组复发率18.75％,但2组差异无统计学意义(x2=0.133,P=0.285).结论超声定位下美兰染色行肝段切除较之传统肝段切除在手术安全性方面更好.熟练掌握多种染色方法及肝内解剖走行可提高染色成功率.
목적 탐토초성정위하미란염색행간단절제적가행성급효과.방법 회고성분석근3년수치적16례초성정위하미란염색행간단절제적병례,여16례전통간절제병례주대비분석.결과 소유환자균성공행초성정위하미란염색간단정위,대우Ⅳ단급Ⅴ、Ⅷ단염색수작정사용반염법.염색후간단절제조술중출혈교전통수술조소차차이유통계학의의(t=3.011,P=0.009),단수술시간교전통수술조장(t=5.423,P=0.000 07).2조재술후병발증방면무차이,염색후절제조종류복발솔6.25％,전통조복발솔18.75％,단2조차이무통계학의의(x2=0.133,P=0.285).결론 초성정위하미란염색행간단절제교지전통간단절제재수술안전성방면경호.숙련장악다충염색방법급간내해부주행가제고염색성공솔.
Objective To evaluate ultrasound-guided methylene blue dyeing for radical liver segmental resection.Methods Liver segmental resection with uhrasound-guide methylene blue dyeing (UMD-SR) was performed in 16 cases, results were compared with 16 conventional liver segmental resection (CSR) retrospectively.Results All the operations under uhrasound-guided methylene blue dyeing were successfully carried out, among them, reverse dyeing was used in cases with segment Ⅳ, Ⅴ, Ⅷ resection.The blood loss in UMD-SR group was much less than CSR group(t =3.011 ,P =0.009) , at the cost of a longer operation time (t =5.423,P =0.000 07).There was no difference in the mortality and morbidity rates between two groups.Tumor recurrence rate was 6.25％ in UMD-SR group and 18.75％ in CSR group (x2 =0.133,P =0.285).Conclusions Ultrasound-guided methylene blue dyeing liver segmental resection can reduce the blood loss during operation, improve the safety of hepatectomy in case of hepatic carcinoma.