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©The Author(s) 2012.
世界华人消化杂志. 2012-03-28; 20(9): 790-794
在线出版 2012-03-28. doi: 10.11569/wcjd.v20.i9.790
在线出版 2012-03-28. doi: 10.11569/wcjd.v20.i9.790
表1 术前肝功能及切除范围比较 (n = 117)
| 分组(n) | mean±SD(95%CI) | Value | P值 | ||
| A(42) | B(35) | C(40) | |||
| A(g/L) | 34.87±4.15(33.58, 36.16) | 35.96±4.60(34.38,37.54) | 36.90±5.10(35.26,38.53) | 1.977 | 0.143 |
| TB(μmol/L) | 14.27±3.61(13.14,15.39) | 13.44±4.22(11.99,14.48) | 13.80±3.59(12.65,14.95) | 0.464 | 0.630 |
| ALT(U/L) | 35.98±6.00(34.11,37.85) | 36.53±7.00(34.13,38.93) | 33.43±5.69(31.61,35.25) | 2.748 | 0.068 |
| 肝功能(Child A/B/C) | 32/10/0 | 30/5/0 | 30/10/0 | 1.508 | 0.470 |
| 切除范围(n) | 2.671 | 0.620 | |||
| 肝单段切除 | 7 | 5 | 5 | ||
| 联合肝段切除 | 25 | 20 | 27 | ||
| 半肝切除 | 10 | 10 | 8 | ||
表2 手术效果及术后肝功能分析 (n = 117)
| 分组(n) | mean±SD(95%CI) | P值 | |||
| A(42) | B(35) | C(40) | A vs B | A vs C | |
| 出血量(mL) | 532.86±77.34 (508.76, 556.96) | 638.00±160.05(583.02, 692.98) | 1121.25±265.33(1036.39, 1206.11) | 0.026 | <0.001 |
| 手术时间(min) | 175.62±25.56 (167.65, 183.59) | 210.60±31.73(190.70, 212.50) | 210.82±31.18 (200.85, 220.80) | <0.001 | <0.001 |
| A(g/L) | |||||
| 术后第3天 | 31.11±4.02 (29.83, 32.37) | 30.43±3.43 (29.26, 31.61) | 31.75±3.92(30.40, 33.10) | 0.672 | 0.069 |
| 术后第7天 | 30.65±4.03 (29.39, 31.70) | 29.45±3.62 (28.21, 30.60) | 29.34±3.94(28.08, 30.60) | 0.307 | 0.227 |
| TB(μmol/L) | |||||
| 术后第3天 | 30.91±6.14 (29.00, 32.83) | 32.63±5.99 (30.58, 34.69) | 36.20±12.45(32.22, 40.18) | 0.605 | 0.014 |
| 术后第7天 | 20.84±6.20 (18.96, 22.71) | 23.76±7.23 (21.28, 26.25) | 25.00±6.32(22.98, 27.03) | 0.094 | 0.009 |
| ALT(U/L) | |||||
| 术后第3天 | 159.53±10.30 (156.32, 162.74) | 164.75±18.11(158.53, 170.97) | 236.88±44.32(223.94, 249.82) | 0.599 | <0.001 |
| 术后第7天 | 50.10±5.84 (48.28, 51.92) | 53.14±6.90 (50.77, 55.51) | 72.91±11.89(69.11, 76.71) | 0.221 | <0.001 |
表3 术后并发症发生率及近期死亡率比较 (n = 117)
| 分组(n) | n(%) | P值 | |||
| A(42) | B(35) | C(40) | A vs B | A vs C | |
| 胸腔积液 | 5(11.9) | 4(11.4) | 5(12.5) | 1.000 | 1.000 |
| 腹腔积液 | 14(33.3) | 13(37.1) | 29(72.5) | 0.913 | 0.001 |
| 消化系出血 | 0 | 0 | 1(2.5) | 0.980 | |
| 肝功能衰竭 | 0 | 0 | 2(5.0) | 0.453 | |
| 死亡 | 0 | 0 | 1(2.5) | 0.980 | |
引文著录: 周松, 薛小军, 李冉冉, 陈达丰, 陈文有, 刘广欣, 柯恩明, 郑硕云. 肝断面血流阻断器在肝癌切除术中的应用. 世界华人消化杂志 2012; 20(9): 790-794