腹腔镜肝肿瘤切除术治疗肝肿瘤的临床疗效和安全性观察
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摘要
目的:观察腹腔镜肝肿瘤切除术治疗肝肿瘤的临床疗效和安全性。方法:将行肝肿瘤切除术的84例患者作为研究对象,依照随机数表法分为两组,每组42例。对照组行开腹肝切除术,观察组行腹腔镜肝肿瘤切除术。观察两组手术情况、并发症、手术前后凝血酶原时间(PT)、丙氨酸转氨酶(ALT)水平。结果:两组治疗前后PT水平、治疗前ALT水平、并发症发生率比较差异无统计学意义(P>0.05);观察组术中出血量、住院时间、治疗后ALT水平低于对照组,两组比较差异有统计学意义(P<0.05)。结论:腹腔镜肝肿瘤切除术治疗肝肿瘤术中出血少,术后并发症少,能加快肝功能恢复,缩短治疗时间。
Objective:To observe the clinical efficacy and safety of laparoscopic liver tumor resection in the treatment of liver tumors.Methods:84 patients who underwent hepatectomy were divided into two groups according to the random number table method,each with 42 cases.The control group underwent open hepatectomy,and the observation group underwent laparoscopic liver tumor resection.The operation conditions,complications,prothrombin time(PT) and alanine aminotransferase(ALT) levels were observed before and after operation.Results:There was no significant difference between the two groups in PT level before and after treatment,ALT level before treatment and incidence of complications(P>0.05).The bleeding volume,time of hospital and ALT level after treatment in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic hepatectomy has the advantages of less bleeding and less postoperative complications and can accelerate the recovery of liver function and shorten the treatment time.
Objective:To observe the clinical efficacy and safety of laparoscopic liver tumor resection in the treatment of liver tumors.Methods:84 patients who underwent hepatectomy were divided into two groups according to the random number table method,each with 42 cases.The control group underwent open hepatectomy,and the observation group underwent laparoscopic liver tumor resection.The operation conditions,complications,prothrombin time(PT) and alanine aminotransferase(ALT) levels were observed before and after operation.Results:There was no significant difference between the two groups in PT level before and after treatment,ALT level before treatment and incidence of complications(P>0.05).The bleeding volume,time of hospital and ALT level after treatment in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic hepatectomy has the advantages of less bleeding and less postoperative complications and can accelerate the recovery of liver function and shorten the treatment time.
引文
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[4]马逸云,蒋华,张宏亨.腹腔镜肝切除术与开腹肝切除术治疗肝硬化肝细胞癌患者的效果比较[J].临床肝胆病杂志,2016,32(10):1916-1919.
[5]张翔,林科灿,刘景丰,等.全腹腔镜下特殊部位肝脏肿瘤切除术经验总结[J].中华外科杂志,2016,54(1):34-38.
[6]毛岸荣,潘奇,赵一鸣,等.腹腔镜与开腹肝肿瘤切除术临床疗效的对比分析[J].中国癌症杂志,2017,27(4):293-296.
[7]靳斌,杜刚,周兵海,等.腹腔镜肝尾状叶肿瘤切除术的临床应用(附5例报告)[J].腹腔镜外科杂志,2017,22(2):108-110.
[8]陈求赞.腹腔镜肝切除治疗肝脏恶性肿瘤的临床效果[J].实用癌症杂志,2016,31(7):1108-1110.
[9]龚安安,张成武,周蒙滔.腹腔镜下右半肝切除术治疗右肝肿瘤的围手术期疗效评估[J].肝胆胰外科杂志,2017,29(4):271-275.
[10]佟庆,丁伟,晏冬,等.腹腔镜与开腹肝切除术治疗肝癌疗效的Meta分析[J].中国普通外科杂志,2015,24(1):27-33.