临床研究(Clinical Research)

射频凝血器在肝切除术中的应用价值

Published at: 2015年第24卷第1期

金浩 1 , 刘会春 1 , 李宗狂 1 , 鲁贻民 1 , 周磊 1
1 蚌埠医学院第一附属医院 肝胆外科,安徽 蚌埠 233004
通讯作者 会春 刘 Email: doctorlhc2000@aliyun.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.01.015
基金:

摘要

目的:探讨射频凝血器在肝切除术中临床疗效和应用价值。 方法:回顾性分析2011 年7 月—2013 年7 月行肝切除手术108 例患者的临床资料,其中41 例行射频 凝血器断肝(观察组),67 例应用传统钳夹法断肝(对照组),比较两组的临床效果。 结果: 与对照组比较,观察组手术时间、术中出血量、输血患者比例及肝门阻断比例均少于对照 组;术后转氨酶和胆红素上升数值、腹腔引流量及住院时间均低于对照组,差异均有统计学意义(均 P<0.05)。两组间术后并发症发生率及总住院费用差异无统计学意义(均P>0.05)。 结论:应用射频凝血器可有效减少出血,降低对肝脏损害,缩短住院时间,且不明显增加住院费用, 在肝切除中有应用价值。


Application value of radiofrequency coagulation device in hepatectomy

Abstract

Objective: To investigate the clinical efficacy and value of using radiofrequency coagulation device in liver resection. Methods: The clinical data of 108 patients undergoing hepatectomy from July 2011 to July 2013 were retrospective analyzed. Of the patients, 41 cases underwent radiofrequency-assisted liver transection (observational group), and 67 cases underwent liver transection using conventional clamp technique (control group). The clinical variables between the two groups were compared. Results: In observational group compared with control group, the operative time, intraoperative blood loss, and the percentage of cases requiring blood transfusion and hepatic portal occlusion were reduced, the values of postoperative transaminase and bilirubin were decreased, the volume of postoperative peritoneal drainage and length of hospital stay were decreased, and all the differences reached statistical significance (all P<0.05). There was no statistical difference in incidence of postoperative complications and hospitalization costs between the two group (both P>0.05). Conclusion: The use of radiofrequency coagulation in liver resection can effectively control blood loss and decrease liver damage and length of hospital stay, and does not increase medical expenses, so it can valuably be applied in hepatectomy.


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引用

引用本文: 浩 金, 会春 刘, 宗狂 李, 贻民 鲁, 磊 周. 射频凝血器在肝切除术中的应用价值[J]. 中国普通外科杂志, 2015, 24(1): 80–83.
Cite this article as: JIN Hao, LIU Huichun, LI Zongkuang, LU Yimin, ZHOU Lei . Application value of radiofrequency coagulation device in hepatectomy[J]. Chin J Gen Surg, 2015, 24(1): 80–83.