【摘要】 目的 探讨带蒂大网膜在严重肝外伤手术中的应用及其对降低并发症和死亡率的影响。 方法 对1986年12月～2004年12月间我院78例肝外伤的资料进行分析，其中钝性伤72例、开放伤6例，在对肝创面失活组织彻底清除或作不规则肝叶切除后，填入带蒂大网膜，然后缝合或压迫止血。 结果 全组所有78例病例，并发症发生率、治愈率和死亡率分别为29.49%(23/78)，88.46%(69/78)和1l.54%(9/78)，与同期无大网膜填塞的病例比较，有显著性差异。 结论 带蒂大网膜填塞在处理严重肝损伤创面具有较高的实用价值，临床上值得推广。

    【关键词】 肝外伤;带蒂大网膜;外科;治疗

    Clinical application of epiploon wad in the complex liver injuries.

    ZHONG Xiang-yang，HUANG Jian-cheng.

    Department of Surgery，Fenggang Hospital of Dongguan，Dongguan，523690，China.

    【Abstract】 Objective To evaluate the clinical application of omentum wad in the complex liver injuries.Methods Analysis the78cases with complex liver injuries(blunt72cases、exoteric8cases)was treatment with epiploon wad after quite weed out non-alive liver tissue in December1986to December2003.Results The side-effect rate、healing rate and death rate were29.49%、88.46%、11.54%.There were significant in statistics.Conclusion Data from the evaluate showed that treatment with epiploon wad is effective in patients with complex liver injuries ......