LOGISTIC REGRESSION ANALYSIS ON 124 CASES WITH PLEURAL FLUID AFTER HEPATECTOMY

Objective To approach the sources of pleural fluid after hepatectomy.Methods 124 cases with primary hepatic carcinoma undergoing hepatectomy were selected for retrospective study.Results Pleural fluid emerged in 50 cases(40.32%)after hepatectomy,of which the right pleural effusion accounted for 82 percent(41 cases);Pleural fluid after hepatectomy was related to operative site,fluid under diaphragm,hepatic function after operation,obstruative time of portal vein,ascites and volume of bleeding(P0.05),meanwhile,operative site(OR=8.709),fluid under diaphragm(OR=1579.66),obstruative time of portal vein(OR=3.924),ascites(OR=0.215)and volume of bleeding(OR=2.043) were independent factors(P0.05).Conclusion To reduce the occurrence of pleural effusion after hepatectomy,we could improve the hepatic function preoperative and postoperative,refine the operation,reduce the volume of bleeding,decrtated obstruative time of portal vein and avoide the occurrence of fluid under diaphragm and ascites.