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1、·42·2014年1月第4O卷第1期JiangsuMedJ，January14vo【4oQ!論著精準肝切除治療原發(fā)性肝癌的臨床療效黃海秦錫虎柳詠【摘要】目的探討精準肝切除治療原發(fā)性肝癌的臨床療效。方法100例原發(fā)性肝癌患者均分精準肝切除(A)組和傳統(tǒng)肝切除(B)組。A組術(shù)前行CT三維重建及計算機輔助方案制定，術(shù)中超聲精準定位，行半肝人肝血流阻斷；B組僅術(shù)中采用Pringle法行全肝入肝血流阻斷。比較兩組臨床相關(guān)指標。結(jié)果與B組比較，A組手術(shù)時間長[(174．6±41．9)minvs．(254．8±29．8)mini、肛門排
2、氣時間和住院時間短E(83．6±6．5)minv&(74．6±5．2)min和(17．1+-2．3)dvs．(14．3±1_4)d__、術(shù)中出血量和腹腔引流量少[(654．2±196．1)mlvs．(487．1±119．4)ml和(784．1±150．3)mlvs．(648．2±114．5)m1]、術(shù)后1周AL『r峰值和術(shù)后并發(fā)癥發(fā)生率低[(495．1±291．1)U／Lvs．(356．8±162．6)U／L和26％vs．10](P<0．05)。結(jié)論與傳統(tǒng)肝切除方案比較，精準肝切除治療原發(fā)性肝癌安全，效果較好?！娟P(guān)鍵詞】原
3、發(fā)性肝癌；精準肝切除【中圖分類號】R657【文獻標識碼】A【文章編號10253—3685(2014)01—0042—03ClinicalefficacyofprecisehepatectomyinpatientswithprimaryhepaticcarcinomaHUANGHal，QINGXJhu，LIUYong．DepartmentofGeneralSurgery，AffiliatedChangzhouTCMHospital，NaniingUniversityofChineseMedicine，Changzhou213
4、000，CHINA[Abstract]0bjectiveToexploretheclinicalefficacyofprecisehepatectomyinpatientswithprimaryhepaticcarcinoma(PHC)．MethodsOnehundredpatientswithPHCwereequallydividedintogroupsofA(treatedwithprecisehepatectomy)andB(treatedwithconventionalhepatectomy)．CT3-diment
5、ionalreconstructionandcomputer-assistedplanbeforeoperationwereconductedingroupA，inwhichpreciselyultrasoniclocalizationandhemihepaticvascularocclusionwerecarriedoutduringoperation．TotalhepaticvascularocclusionwasconductedbyPringlewayingroupBClinicallyrelevantindica
6、torsintwogroupswereanalyzed．ResultsComparedwithgroupB，operativetimewaslongeringroupAE(174．6±41．9)minvs．(254．84_-29．8)mini，thetimeofanusexhaustingandhospita1．staywereshorteringroupAI(83．6±6．5)rainvs．(74．6±5．2)minand(17．1±2．3)dvs．(14．3+-1．4)d]，bloodlossandabdominald
7、rainageduringoperationwerelessingroupA[(654．2±196．1)mlvs．(487．1±l19．4)nlland(784．1±150．3)mlvs．(648．2±114．5)mll，peakofALTonthe7thdayandincidencerateofcomplicationafteroperationwereloweringroupAI(495．1±291．1)U／Lvs．(356．8+-162．6)U／Land26vs．10)](P<0．05)．ConclusionPrec
8、isehepatectomyissaferandmoreeffectivethanconventionalhepatectomyinthetreatmentofPHC[Keywords]Primaryhepaticcarcinoma；Precisehepatectomyl-，iangsuMedJ，Jan
