手术切除治疗原发性肝癌自发破裂出血  

Hepatecomy for spontaneous rupture of primary liver cancer

作　　者：徐光勋[1] 林栋栋[1] 郭庆良[1] 张振[1] 刘青光[2] 潘承恩[2] 

机构地区：[1]首都医科大学附属北京佑安医院肝胆外科,北京100054 [2]西安交通大学第一医院肝胆外科,陕西西安710061

出　　处：《现代医药卫生》2004年第15期1448-1449,共2页Journal of Modern Medicine & Health

摘　　要：目的 :探讨原发性肝癌 (肝癌 )自发破裂出血的手术切除疗效。方法 :对13例因肝癌自发破裂出血行肝切除手术治疗的病例 ,观察了生存时间及肿瘤组织肿瘤转移抑制基因nm23 -H1的表达。结果 :无手术死亡 ,7例生存19个月 ,6例生存2年以上。nm23-H1阳性者9例 ,阴性者4例。结论 :对肝癌破裂出血病人应积极手术治疗。Objective:To explore the effect of hepatectomy in the treatment of patients with spontaneous rupture and bleeding of primary liver cancer.Methods:13 patients treated with hepatectomy for spontaneous rupture and bleeding of primary liver cancer were analyzed retrospectively.Survival time and the expression of tumor metastatic inhibitory gene nm-23 H1 in tumor tissue were observed.Results:There was no operative death.7 patients survived 19 month,the other 6 patients survived more than 2 years.The expression of nm-23 H1 was positive in 9 patients and negtive in 4 patients.Conclusion:For patients with spontaneous repture and bleeding of primary liver cancer,surgical resection should be performed.

关 键 词：手术切除 治疗 原发性肝癌自发破裂出血 NM23-H1 

分 类 号：R735.7[医药卫生—肿瘤]