| Objective::Collected from qinghai province people’s hospital of general surgery cases of patients with liver hydatid bubble type data,analysis and comparison are not blocking porta,Pringle has and half liver to block the effect of bubble type in the liver echinococcosis radical surgery and its clinical significance.Methods:This topic regression analysis in January 2015-December2016 to our hospital during the hospitalization of the clinical data of 61 patients with liver bubble ce,on the basis of bubble type liver echinococcosis radical surgery of liver blood vessel blocking ways different,it can be divided into half liver blocking door group(18 cases),group 1,Pringle has blocking porta hepatis group(group 2,25 cases),not blocking porta hepatis group(18cases),group 3 three groups.Results:1.The general data of the three groups were analyzed,and three groups were found to have no statistical difference(P > 0.05)in age,gender and preoperative child-pugh levels.2.On postoperative liver function index of three groups of patients with comparative analysis,found that(1)the comparison of ALT: three groups of patients with preoperative ALT level no statistical difference(P > 0.05),postoperative day 1 ALT value group 3 high group 1 and group 2(P < 0.05);There were statistically significant differences in ALT between the 4th and7 th days of the operation,and the ALT was the highest in the ALT group,and the lowest in the group.(2)the comparison of the AST: three groups of patients with preoperative AST level no statistical difference(P > 0.05),postoperative days 1,4,propagated levels in two comparison between the three groups were statistically significant,performance for postoperative day1 AST the highest value of group 1,group 2 minimum;The fourth day of postoperative AST group 2 was the highest,and the group 3 was the lowest.The 7th day AST group was higher than group 1,group 3(P < 0.05),andgroup 1 and group 3 were not statistically significant.(3)the comparison of TBIL: three groups of patients with preoperative TBIL level no statistical difference(P > 0.05),1,4,and 7 days between group 2 and group 1,group 3,TBIL level is statistically significant were highest for group 3,group 1,group1 and group 3 comparing is no statistical difference(P > 0.05).3.Of three groups of patients with intraoperative blood loss,operative time,postoperative hospital stay were compared analysis,found that(1)intraoperative blood loss,group 2 blood loss more than group 1(P < 0.05),group 3 compared with group 1,group 2 had no statistical difference(P >0.05);In terms of operation time,group 1 and group 3 took less time than group 2(P < 0.05),and group 1 and group 3 were not statistically significant(P > 0.05).In the postoperative period of hospital stay,group 2 time was 1,group 3(P < 0.05),group 1 and group 3 were non-statistical differences(P >0.05).4.Intraoperative blood transfusion rate of three groups of patients and incidence of postoperative complications were analyzed,and found that three groups of patients in the rate of intraoperative blood transfusion and postoperative complication rates were no statistical difference(P > 0.05).Conclusion:1.Bubble ce surgery in the liver,half liver in patients with hepatic blood flow blocking method in reducing the intraoperative hepatic injury,promote the recovery of liver function,control the operation time,intraoperative bleeding,postoperative hospital stay than Pringle has method has obvious advantages.2.In the operation of hepatic filariasis,the semi-hepatic hepatic blood flow block method has no significant advantage in the incidence of postoperative complications in the Pringle method.Keywords: hepatectomy for hepatocolectomiasis(hepatectomy). |
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