摘要
目的 探讨肝癌患者术前 ICGR1 5水平与肝切除术后并发症发生的关系。方法 本院 1997年 12月 -2 0 0 0年 12月收治的 5 9例肝癌患者 ,依其术后并发症的有无分成二组 :有并发症组 (n=2 3 )与无并发症组 (n=3 6)。分析两组间术前 IC-GR1 5水平、手术操作与其他临床病理因素的差异。结果 有并发症组 ICGR1 5水平 (12 .173± 10 .184% )显著高于无并发症组(8.5 2 9± 6.844 % ,P=0 .0 43 ) ;有并发症组手术时间 (3 46.3 9± 12 7.3 4min)亦显著长于无并发症组 (2 91.5 3± 117.68min,P=0 .0 3 0 ) ;ICGR1 5水平与血清白蛋白、纤维蛋白原水平呈负相关 ,与血清总胆红素水平呈正相关 ,与转氨酶、凝血酶原延长时间无关。结论 肝癌肝切除术后并发症与术前肝脏储备功能、手术时间有关 ,ICGR1 5是反映肝脏储备功能。
Objective In order to explore the relationship between ICGR 15 and postoperative morbidity in patients with hepatocellular carcinoma.Methods Fifty nine patients with hepatocellular carcinoma during 1997.12～2000.12 were divided into two groups according to complications:complication group(n=23) and non-complication group(n=36).ICGR 15 operative factors and clinical pathological factors between two groups were analyzed by statistics.Results ICGR 15 level of complication group (12.173±10.184%)was higher than that of non complication group(8.529±6.844%,p=0.043).Operative time of complication group(346.39±127.34 min) was longer than that of non complication group(291.53±117.68 minutes,p=0.030).ICGR 15 was positive correlation with ALB,FIB and TBIL,negative correlation with ALT and PT.Conclusion Hepatic function reserve and operating time are relative to postoperative morbidity,ICGR 15 is a sensitive index for reflecting hepatic function reserve and prediction of complication.
出处
《肝胆外科杂志》
2002年第1期31-33,共3页
Journal of Hepatobiliary Surgery
关键词
ICGR15
肝癌
肝切除
并发症
ICGR 15
Hepatocellular carcinoma
Heptectomy
Morbidity
