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微波刀行肝段切除19例报告

SEGMENTAL HEPATECTOMY WITH MICROWAVE KNIFE: REPORT OF 19 CASES
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摘要 为了探讨微波刀行肝段切除之可行性,经过19例临床实践与9例同期未使用微波刀行肝段切除相比较得出:19例微波刀行肝段切除术其平均每例出血量和输血量为361ml和421ml;其并发症为2例。9例未使用微波刀行肝段切除术其平均出血量和输血量为581ml和722ml;其并发症为4例。两组相比其出血量、输血量及并发症均有明显差异性(均P<0.05)。本组患者无手术及住院死亡。进而说明微波刀行肝段切除术出血量小、并发症少和死亡率低,是一种安全、有效和符合肝脏解剖特点的手术,值得推广应用。 To study the posibility of segmental hepatectomy with microwave knife,we performed 19cases of segmental hepatectomy with microwave knife and compared with 9 cases of segmental hepatectomy without using microwave knife in the same times.The results showed that in the 19 cases of segmantal hepatectomy with microwave knife the average amount of bleeding and transfusing was 361ml and 421ml,and 2 cases had complications, while the average amount of bleeding and transfusing in the 9 caseswithout using microwave Rnife was 581ml and 722ml,and 4 had complications. The average amount of bleeding、transfusing andcomplications in two groups was singnificantly different(p<0.05). No patients died after operations. This study suggests that segmental hepatectomy with microwave knife can reduce the amount of bleeding and has lower complications and mortality. Thismethod of segmental hepatectomy has advantages of safety,effectivness, and is in accord with the anatomic specificity of liver,so itcan be expanded and applied.
出处 《肝胆外科杂志》 1998年第5期278-279,共2页 Journal of Hepatobiliary Surgery
关键词 微波 肝段切除术 出血量 Microwave Segmental hepteclomy
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