【摘要】 目的　评价清创性肝切除治疗严重肝外伤的疗效。方法　回顾性总结 34例施行肝切除术的严重肝外伤患者的临床资料 ,其中肝外伤Ⅲ级 9例 ,Ⅳ级 2 1例 ,Ⅴ级 4例。行清创性肝切除 2 3例 ,规则性肝切除 1 1例。结果　死亡 8例 ,死亡率为 2 3 53%。 8例术后发生并发症。清创性肝切除死亡率明显低于规则性肝切除 ,2种术式间并发症发生率无显著差异。结论　清创性肝切除为治疗严重肝外伤的有效措施 ,清创性肝切除操作简单 ,失血量少 ,效果明显优于规则性肝切除更多还原

【Abstract】 Objective To evaluate the effect of debridment hepatic resection (DHR) for severe hepatic trauma. Methods The clinical data of 34 patients with severe hepatic trauma treaed by hepatic resection were retrospectively summarized. Of them, 9, 12 and 4 patients with grade Ⅲ, Ⅳ and Ⅴ hepatic trauma respectively. Twenty three patients underwent DHR and 11 anatomic hepatic resection. Results Death ccurred in 8 patients (23.53%); postoperative complications occurred in another 8 cases. Mortality in DHR group was significanty lower than that in anatomical resection group, but the occurrence of postoperative complications showed no significant difference between the two groups. Conclusions DHP is an effective procedure in treating severe hepatic trauma. Comparing to anatomical resection, DHR is simpler, less blood loss and better effective.更多还原