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ID:34189231
大小:5.76 MB
页数:37页
时间:2019-03-03
《不同肝血流阻断方法在肝癌伴肝硬化患者肝切除手术中效果分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、大连医科火学颂}j学位论文关于学位论文使用授权的说明本学位论文作者完全了解学校有关保留、使用学位论文的规定,同意学校保留并向国家有关部门或机构送交论文的复印件和电子版,允许论文被查阅和借阅。本人授权大连医科大学可以将本学位论文的全部或部分内容编入有关数据库进行检索,可以采用影印、缩印或扫描等复制手段保存和汇编本学位论文。本学位论文属于(请在以下相应方框内打“√”):1.保密口,在一年解密后适用本授权书。2.不保密函。作者签名:多j山导师签名:日期:声D侈年,月j7日日期:年月日大连医科大学硕士学位论文计学意义(P<0.05)
2、,TB在术后1、7天有统计学意义(P3、。4.肝硬化肝切除患者手术预期阻断时间较短(小于20min)者可采用IP法,既可以减少术中出血,又可在降低残肝IRI上达到与半肝血流阻断法相似的效果。关键词肝硬化肝癌肝切除术缺血.再灌注损伤缺血预处理2大连医科大学硕士学位论文Results:Therewasnosignificantdifferencebetweenthreegroupsintheage、thehepaticfunctionbeforeoperation、tumorsize(cm)、averagetimeofbloodocclusion(min)statis4、tically.ThemeanbloodlossofIPgroupwastheleastinhepatectomy,andIPMwasthemost.ThereWassignificantdifferencebetweenthemstatistically(P<0.05).ForthechangeofALT、ASTandTBatthe1st,3rd,7thdayafteroperationbetweenthreegroups.IncomparisonwithIPMandIPgroup,thelevelofALT、ASTand5、TBdecreasedapparentlyinHPMgroup,thereWassignificantdifferenceamongthemstatistically(P<0.05or或P<0.01).Atthe14thdayafteroperation,comparingwithIPMandIPgroup,thereWassignificantdifferenceinHPMgroup(P<0.05).ThelevelofALTatthe1st,3rd,7thdayafteroperationandASTatthe1st,36、rddayafteroperationinIPMgroupwerepriortoIPgroup.ThereWassignificantdifferencebetweenthemstatistically(P<0.05).ButthelevelofTBatthe3rddayafteroperationinIPgroupwaslowerthanthatinIPMgroup(P<0.05).InthecomparisonofthelevelofALT、AST、TBinthepatientsoftheblockingtimeless7、than20minutesamongthreegroups,theliverfunctionofIPgroupimprovedsignificantlyafteroperation.ComparedwithIPMgroup,thelevelofALTandASTatthe1st,3rd,7thand14thdayafteroperationwerestatisticallysignificant(P<0.05),andthelevelofTBatthe1st,7thdayafteroperationwerestatistic8、allysignificant(P
3、。4.肝硬化肝切除患者手术预期阻断时间较短(小于20min)者可采用IP法,既可以减少术中出血,又可在降低残肝IRI上达到与半肝血流阻断法相似的效果。关键词肝硬化肝癌肝切除术缺血.再灌注损伤缺血预处理2大连医科大学硕士学位论文Results:Therewasnosignificantdifferencebetweenthreegroupsintheage、thehepaticfunctionbeforeoperation、tumorsize(cm)、averagetimeofbloodocclusion(min)statis
4、tically.ThemeanbloodlossofIPgroupwastheleastinhepatectomy,andIPMwasthemost.ThereWassignificantdifferencebetweenthemstatistically(P<0.05).ForthechangeofALT、ASTandTBatthe1st,3rd,7thdayafteroperationbetweenthreegroups.IncomparisonwithIPMandIPgroup,thelevelofALT、ASTand
5、TBdecreasedapparentlyinHPMgroup,thereWassignificantdifferenceamongthemstatistically(P<0.05or或P<0.01).Atthe14thdayafteroperation,comparingwithIPMandIPgroup,thereWassignificantdifferenceinHPMgroup(P<0.05).ThelevelofALTatthe1st,3rd,7thdayafteroperationandASTatthe1st,3
6、rddayafteroperationinIPMgroupwerepriortoIPgroup.ThereWassignificantdifferencebetweenthemstatistically(P<0.05).ButthelevelofTBatthe3rddayafteroperationinIPgroupwaslowerthanthatinIPMgroup(P<0.05).InthecomparisonofthelevelofALT、AST、TBinthepatientsoftheblockingtimeless
7、than20minutesamongthreegroups,theliverfunctionofIPgroupimprovedsignificantlyafteroperation.ComparedwithIPMgroup,thelevelofALTandASTatthe1st,3rd,7thand14thdayafteroperationwerestatisticallysignificant(P<0.05),andthelevelofTBatthe1st,7thdayafteroperationwerestatistic
8、allysignificant(P
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