第25卷第2期2013年3月肝胆胰外科杂志JournalofHepatopancreatobiliarySurgeryVO1．25NO．2Mar．2013泰绫联合胶原蛋白海绵在肝切除术中的临床应用徐琦，高静涛，秦建伟，李智平，李庆怀(解放军第一医院肝胆外科、兰州军区肝胆外科中心，甘肃兰州730030)[摘要]目的探讨泰绫联合胶原蛋白海绵在肝切除断面的止血、防漏效果。方法随机将51例择期行肝部分切除术的患者分为治疗组和对照组，治疗组肝断面处理中使用泰绫联合胶原蛋白海绵，对照组不使用任何止血材料，比较两组术后24、48、72h腹腔引流量、引流管放置时问及创面发生渗血、胆漏的几率。结果治疗组术后腹腔引流量明显少于对照组，拔管时间缩短，创面渗血、胆漏发生率低于对照组，两组问差异有统计学意义(尸<0．05)。结论泰绫联合胶原蛋白海绵在肝切除术中具有安全、可靠的止血、防胆漏效果，能显著减少术后腹腔引流量，缩短腹腔引流时间。[关键词]肝切除术；断面处理；泰绫；胶原蛋白海绵[中图分类号]R619[文献标识码]A[文章编号]1007—1954(2013)0109—03TheclinicalapplicationofTailingcombinedwithcollagenspongeinhepatectomyXUai，GAOJing—tao．QINJian—weiela1．DepartmentofHepatobiliarySurgery．theFtrStHospitalofPLA，Lanzhou730030，ChinaobjectiveToinvestigatetheeffectofhemostasisandbile—leakagepreventionbyTailingcombinedwithcollagenspongewhichusedinhepatectomy．MethodsFifty—onepatientsundergoingpartialhepatectomywererandomlydividedintotWOgroups，treatmentgroupandcontrolgroup．Liver—sectionsweretreatedwithTailingandcollagenspongeinthetreatmentgroup，andnonthingwasusedinthecontrolgroup．Theabdominaldrainageat24h，48h，72hofpostoperation，extubationtimeandincidenceofhemorrhageandbileleakagewerecompared．ResultsTheabodominaldrainageandextubationtimeoftreatmentgroupweresignificantlylessthanthatofcontrolgroup．Theincidenceofhemorrhageandbileleakageintreatmentgroupwaslowerthanthatincontrolgroup．Thedifferencebetweentwogroupswasstatisticallysignificant(P<0．O5)．ConclusionTheapplicationofTailingcombinedwithcollagenspongeinhepatectomyhasasafeandreliableeffectonhemostasisandbile—leakageprevention．Itcansignificantlyreducetheabdominaldrainageofpostoperation，andshortentheextubationtime．hepat...
