急诊肝切除术治疗肝癌破裂出血  

Emergency Liver Resection for Spontaneous Rupture of Primary Hepatocellular Carcinoma

作　　者：陈声龙 周成林[2] 

机构地区：[1]南京市六合区程桥卫生服务中心普外科,江苏南京211503 [2]扬州大学医学院附属六合医院6病区,江苏南京211500

出　　处：《慢性病学杂志》2010年第11期1382-1383,共2页Chronic Pathematology Journal

摘　　要：目的探讨急诊肝切除术治疗肝癌自发性破裂的适应证和疗效。方法回顾性分析12例肝癌自发性破裂患者行急诊肝切除术的临床资料。结果急诊肝切除术12例,术后并发症发生率25%(3/12)。术后均行TAE等综合治疗,1、3a生存率分别为75%、41.67%。结论术前综合评估,适当从严掌握手术适应证及完善的围手术期处理是行急诊肝切除术获得成功的重要依据,急诊左半肝肝切除术或左肝外叶切除术治疗肝癌自发性破裂可能获得良好预后。Objective To investigate the indications and prognosis of emergency liver resection for spontaneous rupture of primary hepatocellular carcinoma. Methods A retrospective clinical analysis was performed for 12 patients with spontaneous rupture of primary hepatocellular carcinoma who underwent emergency liver resection.Results 12 patients underwent emergency liver resection, the complication rate were 25%. All the patients received TAE treatment,patients who was survived one year is 75% and survived three year is 41.67%. Conclusion surgical indications and perioperative care is important for emergency liver resection, left lobe hepatectomy and left hepatic lobectomy is good for spontaneous rupture of primary hepatocellular carcinoma.

关 键 词：肝肿瘤/外科学/并发症 破裂/病因学 出血/病因学 人类 

分 类 号：R735.7[医药卫生—肿瘤]