肝脏储备功能评价.doc

肝脏储备功能评价姚定忠张好春慈溪市第三人民医院( 浙江慈溪 315324) 【摘要】合并慢性肝脏疾病的病人肝切除很高的死亡率和并发症率。术前肝功能的估计是必要的。本文综合现有关于术前评价肝功能储备的英文文献, 发现: 无论东方或西方学者都认为 Child-Pugh 评分系统和残肝体积评价肝功能储备非常有用。在东方,尤其是亚洲,外科学者喜欢用吲哚******清除( ICG )弥补 Child-Pugh 评分的不足;而西方学者偏爱活检明确肝纤维化的程度及评价门脉高压弥补 Child-Pugh 评分的不足。【关键词】肝功能肝功能储备评价进展[中图分类号] [文献标识码] A [文章编号] 1810 - 5734(2010)12-0005-03 The progress of evaluation of liver function reserve Yao Ding Zhong ,Zhang Hao Chun,Depatment of Surgery, the Third People's Hospital ofCixi City , Zhejiang3153 24,China. 【 Abstract 】 Patients 〖 WTBZ 〗 with chronic liver disease has high mortality rate pli cation rate of liver resection. Estimation of Preoperative liver function is necessary. In this article, the authors reviewed evaluation ofpreoperative reserve liver function discussed in English references. found that: it is very useful that the Child-Pugh scoring system and the evaluation liver function reserve of remnant liver volume. In the East, particularly in Asia, surgical scholars like to use chlorine removal indocyanine (ICG) to make up for lack of Child-Pugh score; and Western scholars evaluated liver fibrosis and portal hypertension to make up for lack of Child-Pugh score by liver biopsy. 【 Key words 】 liver function liver functional reserve evaluation progress 合并慢性肝脏疾病的病人肝切除很高的死亡率和并发症率。主要的危险是术后肝功能不全, 其次是慢性肝硬化失代偿。甚至在精心选择肝硬化患者行肝切除手术的死亡率大约是在非肝硬化病人的 5倍[1] 。因此,在合并慢性肝脏疾病的病人择期行肝切除术,肝功能储备的估计是很重要的。但是,