在肝脏切除手术中,阻断血管控制出血是手术的关键,最早采用压迫肝十二指肠韧带来控制出血,因该方法在阻断门静脉的同时会导致肠瘀血、心血管功能紊乱及肝功能障碍等并发症,所以被半肝血管阻断技术所取代。但这种方法需解剖肝十二指肠韧带,不仅费时,而且会损伤胆总管周围的侧枝循环,如果术后行介入治疗则会引起胆管并发症。为使这一技术更完善,根据肝脏格林森解剖特点创立了肝门血管法(PM)、选择阻断一侧肝血管法(SC)和间歇阻断肝叶血管法(LC)三种方法对病人多方面的影响进行了前瞻性研究。 本文报告1980～1992年196例肝癌手术病人,其中64％合并肝硬化,31％合并慢性肝炎和格林森系统炎症,仅5％为正常肝脏。其中可供研究的病人40例。作者将40例病人分为PM组19例,SC组13例,LC组8例。并采用Statwork Ⅰ软件进行统计学分析。 本文研究的40例患者中,PM,SC,LC级三组中行肝亚段切除术的分别为10,10和5 In liver resection, blocking blood vessels to control bleeding is the key to surgery. The earliest use of compression hepatoduodenal ligament to control bleeding, because the method of blocking the portal vein at the same time can lead to intestinal bleeding, cardiovascular dysfunction and liver With complications such as dysfunction, it was replaced by a hepatic artery occlusion technique. However, this method needs to dissect the hepatoduodenal ligament, which not only takes time, but also damages the collateral circulation around the common bile duct. If interventional treatment is performed after the intervention, it will cause biliary complications. In order to make this technology more perfect, hepatic portal angiography (PM), selective hepatic vascular approach (SC), and intermittent block hepatic vascular approach (LC) were established according to the liver Grinson anatomy. A multi-faceted study of patients was conducted in a prospective study. This article reports 196 cases of liver cancer patients from 1980 to 1992, of whom 64% had liver cirrhosis, 31% had chronic hepatitis and Glinson system inflammation, and only 5% were normal livers. There were 40 patients available for study. The authors divided 40 patients into 19 cases of PM group, 13 cases of SC group and 8 cases of LC group. Statwork I software was used for statistical analysis. Of the 40 patients studied in this study, 10, 10, and 5 of the sub-hepatic subsegmentectomy were performed in the PM, SC, and LC grades.