摘要
目的:探讨腹腔镜下解剖性肝切除术对原发性肝癌患者肝功能及术后并发症的影响。方法:选取2021年10月—2023年1月佛山市中医院收治的84例原发性肝癌患者作为研究对象,按照随机数表法将患者分为观察组与对照组,各42例。对照组给予腹腔镜下非解剖性肝切除术,观察组给予腹腔镜下解剖性肝切除术。比较两组手术指标、肝功能、并发症。结果:两组手术时间比较,差异无统计学意义(P>0.05);观察组输血量、术中出血量少于对照组,肛门通气恢复时间、术后住院时间短于对照组,差异有统计学意义(P<0.05)。观察组治疗后谷丙转氨酶(ALT)、总胆红素(TBIL)、谷草转氨酶(AST)水平均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为4.76%(2/42),低于对照组的23.81%(10/42),差异有统计学意义(P<0.05)。结论:腹腔镜下解剖性肝切除术治疗原发性肝癌患者能减少输血量、术中出血量,缩短肛门通气恢复时间、术后住院时间,改善肝功能,且并发症少,安全性高。
Objective:To explore the effect of laparoscopic anatomical hepatectomy on liver function and postoperative complications in patients with primary liver cancer.Method:A total of 84 patients with primary liver cancer who admitted to Foshan Hospital of Traditional Chinese Medicine from October 2021 to January 2023 were selected as the research objects,the patients were divided into the observation group and the control group according to the random number table method,with 42 cases in each group.The control group was given laparoscopic non anatomical hepatectomy,while the observation group was given laparoscopic anatomical hepatectomy.The surgical indicators,liver function and complications between two groups were compared.Result:There was no significant difference in the operation time between two groups(P>0.05);the blood transfusion volume and intraoperative blood loss in the observation group were less than those in the control group,and the anal ventilation recovery time and postoperative hospital stay were shorter than those in the control group,the differences were statistically significant(P<0.05).The levels of alanine aminotransferase(ALT),total bilirubin(TBIL)and aspartate aminotransferase(AST)in the observation group after treatment were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.76%(2/42),which was lower than 23.81%(10/42)in the control group,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic anatomical hepatectomy in the treatment of patients with primary liver cancer can reduce the amount of blood transfusion and intraoperative blood loss,shorten the recovery time of anal ventilation and postoperative hospital stay,improve liver function,and have fewer complications and high safety.
作者
卢彦川
LU Yanchuan(Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China)
出处
《中外医学研究》
2024年第4期111-114,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
原发性肝癌
腹腔镜下解剖性肝切除术
手术指标
肝功能
并发症
Primary liver cancer
Laparoscopic anatomical hepatectomy
Surgical indicators
Liver function
Complications
