论文部分内容阅读
目的 :对比腹腔镜肝叶切除和常规肝切除治疗原发性肝细胞肝癌的效果。方法 :原发性肝细胞肝癌患者110例根据随机抽签原则分为治疗组与对照组各55例,治疗组给予腹腔镜肝叶切除,对照组给予常规肝切除。结果 :所有患者完成手术,与对照组相比,治疗组的术中出血量与术后住院时间都明显较少。治疗组术后切口感染、隔下积液、切口出血、肺部感染等并发症总体发生率明显低于对照组。两组术后血清谷丙转氨酶与谷草转氨酶含量都呈现明显增加的趋势,与术前对比差异明显,不过术后治疗组的血清谷丙转氨酶与谷草转氨酶含量明显低于对照组。术后随访1年,治疗组的死亡率为3.6%,对照组的死亡率为21.8%,治疗组的预后死亡率明显低于对照组。结论 :腹腔镜肝叶切除术具有创伤小、恢复快、术后并发症少等特点,对于机体肝功能的影响相对比较少,从而降低预后死亡率,值得推广应用。
Objective: To compare the efficacy of laparoscopic hepatectomy and conventional hepatectomy in the treatment of primary hepatocellular carcinoma. Methods: 110 patients with primary hepatocellular carcinoma were randomly divided into treatment group and control group according to the principle of random sampling. The treatment group was given laparoscopic hepatectomy and the control group was given conventional hepatectomy. RESULTS: All patients underwent surgery, with significantly less intraoperative blood loss and postoperative hospital stay in the treatment group than in the control group. The incidence of postoperative incision infection, septum effusion, incision bleeding and pulmonary infection in the treatment group was significantly lower than that in the control group. Serum alanine aminotransferase (ALT) and aspartate aminotransferase (ALT) levels showed a significant increase after operation in both groups, which was significantly different from the preoperative values, but the levels of serum alanine aminotransferase and aspartate aminotransferase in the postoperative treatment group were significantly lower than those in the control group. After one year of follow-up, the mortality rate was 3.6% in the treatment group and 21.8% in the control group. The prognosis mortality rate in the treatment group was significantly lower than that in the control group. Conclusion: Laparoscopic hepatic resection has the advantages of less trauma, faster recovery and fewer postoperative complications. It has less influence on the liver function and thus reduces the prognosis of mortality. It is worth popularizing and applying.