医用创面封闭胶在多囊肝肝叶切除中的临床应用
多囊肝；肝叶切除；创面封闭胶,,],多囊肝；肝叶切除；创面封闭胶,1资料与方法,2结果,3讨论,[参考文献]
[摘要] 目的 探讨医用创面封闭胶在多囊肝(APLD)肝叶切除肝断面处理的临床应用价值。方法 将所有病例分成两组，2002年3月～2005年12月应用医用创面封闭胶在APLD肝叶切除中病例设为A组，1995年1月～2002年2月未用医用创面封闭胶于肝叶切除APLD病例进行对比研究，比较应用创面封闭胶处理肝断面和不用创面封闭胶的两组病例腹腔引流量、带管时间以及膈下感染发生情况。结果 应用创面封闭胶组(A组)腹腔引流量及留置引流管时间明显少于未应用创面胶组(B组)(P<0.01)。A组无膈下感染病例，B组发生2例膈下脓肿，两组中均无肝衰及死亡病例。结论 医用创面封闭胶应用于APLD肝叶切除肝断面处理，能有效减少肝断面渗漏液，减少或避免膈下感染发生。[关键词] 多囊肝；肝叶切除；创面封闭胶
The clinical uses of medical obturation in hepatolobectomy of adult polycystic liver disease
WU Jin-shu,YIN Xin-min,TIAN Bing-zhang,et al.Department of Hepatobiliary Surgery, Hunan Provincial Peoples
Hospital,Changsha 410006,China
[Abstract] Objective To investigate the clinical value of medical obturation glue in hepatolobectomy of APLD.Methods All cases were divided into two groups:medical obturation glue group(A), which were used medical glue in hepatolobectomy of APLD from March 2002 to December,2005;Controlled group(B), which were not used medical glue from January,1995 to February,2002.Abdominal drainage amount, reserved drainage tube time, subphrenic infection were compared between the two groups.Results The abdominal drainage amount and reserved drainage tube time in group A was significantly lower than the group B(P<0.01) no subphrenic infection occurred in group A, but in group B 2 patients.The two groups had no cases of hepatic failure and death.Conclusion Medical obturation glue can effectively decrease liver cross sectional effusion,and occurrence of subphrenic infection in hepatolobectomy of APLD. ......
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