摘要
目的 探讨医用创面封闭胶在减少肝切除术后肝断面渗血中的价值。方法 2 0 0 2年 5～ 11月采用信封法将 60例接受肝切除术的病人随机分为医用胶组 (A组 ,n =3 0 )和对照组 (B组 ,n =3 0 )。A组在肝断面彻底止血后滴注医用创面封闭胶 ,B组则不用。测定术后第 1、2、3d腹腔引流液中红细胞 (RBC)数和血红蛋白 (Hb)量。结果 A、B两组术后腹腔引流液中的RBC数和Hb量均以第 1d为高峰 ,显著高于第 2、3d(P <0 0 5) ,其中A组术后第 1d腹腔引流液中RBC数及Hb量均显著低于B组 (P <0 0 5) ,只相当于B组第 2d的水平。A组主要并发症发生率低于B组 ,但差异无统计学意义 (P =0 0 7)。结论 医用创面封闭胶可有效抑制肝切除术后早期的肝断面渗血 。
Objective To investigate the value of medical glue in r educing the extravasation of hepatic cutting surface following hepatectomy. Met hodsBy using sealed envelope method,60 patients undergoing hepatectom y were randomly divided into medical glue group(group A, n=30) and control group(group B, n=30). In group A, medical obturation glue was applied to the hepatic cutting surface after adequate h emostasis, while no glue was applied in group B. Red blood cells( RBC) and hemoglobin(Hb) in abdominal drainage were counted and measured on posto perative day 1,2 and 3 ResultsRBC and Hb in abdominal drainage on po stoper ative day 1 were significantly greater than those on day 2 and 3 in both group A and B(P<0 05). Group A had a markedly lower amount of RBC and Hb in abdomi nal drainage on postoperative day 1 as compared with group B(P<0 05). The inci dence of major complications in group A was lower than that in group B, but with no statistical significance(P=0 07). ConclusionMedical obturation glue is effective in reducing the extravasation of hepatic cutting surface following hepatectomy, and helps decrease the incidence of major complication.
出处
《中国实用外科杂志》
CSCD
北大核心
2003年第11期668-670,共3页
Chinese Journal of Practical Surgery
