【目的】探讨脾脏切除术中应用可吸收止血结扎夹的临床疗效及其应用价值。【方法】选择2013年1月至2014年7月本院收治的接受脾脏切除术的52例患者，根据止血方法的差异分为观察组（22例），术中应用人工合成可吸收止血结扎夹；对照组（3...【目的】探讨脾脏切除术中应用可吸收止血结扎夹的临床疗效及其应用价值。【方法】选择2013年1月至2014年7月本院收治的接受脾脏切除术的52例患者，根据止血方法的差异分为观察组（22例），术中应用人工合成可吸收止血结扎夹；对照组（30例），术中应用常规丝线打结止血。比较两组的手术时间、住院时间、术中输血量、术后引流量的差异。随访1个月，比较两组患者的二次手术发生率及腹腔积液、腹腔感染、出血等并发症的发生率差异。【结果】与对照组比较，观察组的手术时间、住院时间、术中输血量及术后引流量均显著较少（均 P ＜0.05）。随访1个月，观察组患者的二次手术发生率及各种并发症的发生率均显著低于对照组（均 P ＜0.05）。【结论】在脾脏切除术中应用可吸收止血结扎夹具有较好的安全性，缩短了手术及住院时间，减少了术后并发症，具有较好的临床疗效，是一种值得推广的止血方法。展开更多
AIM: To evaluate the predictive value of D-dimer as a predictive indicator of portal vein thrombosis (PVT) after portal hypertension surgery in hepatitis B virus-related cirrhosis. METHODS: A prospective study was car...AIM: To evaluate the predictive value of D-dimer as a predictive indicator of portal vein thrombosis (PVT) after portal hypertension surgery in hepatitis B virus-related cirrhosis. METHODS: A prospective study was carried out in 52 patients who had undergone surgery for portal hypertension in hepatitis B virus-related cirrhosis. Changes in perioperative dynamic D-dimer were observed. The sensitivity, specifi city, positive predictive values and negative predictive values of D-dimer were calculated, and ROC curves were analyzed. RESULTS: The D-dimer levels in the group developing postoperative PVT was signifi cantly higher than those in the group not developing PVT (P = 0.001), and the ROC semi-quantitative and qualitative analysis of D-dimer showed a moderate predictive value in PVT (semi- quantitative value Az = 0.794, P = 0.000; qualitative analysis: Az = 0.739, P = 0.001). CONCLUSION: Dynamic monitoring of D-dimer levels in patients with portal hypertension after surgery can help early diagnosis of PVT, as in cases where the D-dimer levels steadily increase and exceed 16 μg/mL, the possibility of PVT is very high.展开更多
文摘【目的】探讨脾脏切除术中应用可吸收止血结扎夹的临床疗效及其应用价值。【方法】选择2013年1月至2014年7月本院收治的接受脾脏切除术的52例患者，根据止血方法的差异分为观察组（22例），术中应用人工合成可吸收止血结扎夹；对照组（30例），术中应用常规丝线打结止血。比较两组的手术时间、住院时间、术中输血量、术后引流量的差异。随访1个月，比较两组患者的二次手术发生率及腹腔积液、腹腔感染、出血等并发症的发生率差异。【结果】与对照组比较，观察组的手术时间、住院时间、术中输血量及术后引流量均显著较少（均 P ＜0.05）。随访1个月，观察组患者的二次手术发生率及各种并发症的发生率均显著低于对照组（均 P ＜0.05）。【结论】在脾脏切除术中应用可吸收止血结扎夹具有较好的安全性，缩短了手术及住院时间，减少了术后并发症，具有较好的临床疗效，是一种值得推广的止血方法。
基金Supported by Technology Support Fund of Guangdong Province, No. 2004B35001007
文摘AIM: To evaluate the predictive value of D-dimer as a predictive indicator of portal vein thrombosis (PVT) after portal hypertension surgery in hepatitis B virus-related cirrhosis. METHODS: A prospective study was carried out in 52 patients who had undergone surgery for portal hypertension in hepatitis B virus-related cirrhosis. Changes in perioperative dynamic D-dimer were observed. The sensitivity, specifi city, positive predictive values and negative predictive values of D-dimer were calculated, and ROC curves were analyzed. RESULTS: The D-dimer levels in the group developing postoperative PVT was signifi cantly higher than those in the group not developing PVT (P = 0.001), and the ROC semi-quantitative and qualitative analysis of D-dimer showed a moderate predictive value in PVT (semi- quantitative value Az = 0.794, P = 0.000; qualitative analysis: Az = 0.739, P = 0.001). CONCLUSION: Dynamic monitoring of D-dimer levels in patients with portal hypertension after surgery can help early diagnosis of PVT, as in cases where the D-dimer levels steadily increase and exceed 16 μg/mL, the possibility of PVT is very high.
