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三种不同术式原位肝移植的临床研究
引用本文:张启瑜,吴存造,虞冠锋,廖毅,杨亦荣,周蒙滔,余正平,郑少玲,孙贤斌,夏鹏,刘勇,蔡勇. 三种不同术式原位肝移植的临床研究[J]. 肝胆胰外科杂志, 2006, 18(5): 271-273
作者姓名:张启瑜  吴存造  虞冠锋  廖毅  杨亦荣  周蒙滔  余正平  郑少玲  孙贤斌  夏鹏  刘勇  蔡勇
作者单位:温州医学院第一附属医院,移植科,浙江,温州,325003
基金项目:温州市科技发展计划资助项目(S2002A119)
摘    要:目的探讨标准原位肝移植、经典背驮式肝移植和改良背驮式肝移植三种术式的优缺点。方法自2001年3月至2004年12月,对35例肝炎后肝硬化和急性重症肝炎患者施行了肝移植术,其中标准原位肝移植组11例,经典背驮式组9例,改良背驮式组15例。结果改良背驮式肝移植组的手术时间最短,术中出血输血量少,肝功能恢复快。结论改良背驮式肝移植手术操作简便,医疗费用少。

关 键 词:肝移植  外科手术  手术方式  对照临床试验
文章编号:1007-1954(2006)05-0271-03
修稿时间:2006-04-07

Comparative study on three kinds liver transplantation
ZHANG Qi-yu,WU Cun-zao,YU Guang-feng,et al.. Comparative study on three kinds liver transplantation[J]. Journal of Hepatopancreatobiliary Surgery, 2006, 18(5): 271-273
Authors:ZHANG Qi-yu  WU Cun-zao  YU Guang-feng  et al.
Affiliation:ZHANG Qi-yu,WU Cun-zao,YU Guang-feng,et al. Institute of Organ Transplantation,the First Affiliated Hospital of Wenzhou Medical College,Wenzhou 325003
Abstract:Objective To discuss the effects of three different operational patterns of liver transplantation in clinical application.Methods 35 patients with terminal hepatic diseases underwent three operational procedures: standard orthotopic liver transplantation (SOLT) in 11 cases, piggyback OLT (POLT) in 9 cases, modified POLT (MPOLT) in 15 cases.Results Comparing with SOLT and POLT, MPOLT took the shortest operative duration; and was also accompanied with the least amount of hemorrhage in the operation; and the soonest recovery of liver function.Conclusion MPOLT is easy to perform and has less expense.
Keywords:liver transplantation  surgical procedures  operative  operational patterns  controlled clinical trial
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