Child-Pugh C级伴有肝炎肝硬化的肝癌患者行肝癌切除术20例分析  

ANALYSIS OF 20 CASES OF LIVER CANCER RESECTION OF CHILD-PUGH GRADE C HEPATOCELLULAR CARCINOMA WITH HEPATITIS AND HEPATIC CIRRHOSIS PATIENTS

作　　者：易永祥[1] 胡亮[1] 刘俊卯[1] 陈昌浩[1] 

机构地区：[1]江苏省东南大学附属第二医院,南京210003

出　　处：《现代预防医学》2011年第5期988-989,共2页Modern Preventive Medicine

摘　　要：[目的]探讨Child-Pugh C级伴有肝炎肝硬化的肝癌患者行肝癌切除术的可行性和减少手术死亡率的方法。[方法]以Child-Pugh A级和B级为对照,对某院2004～2009年收治的20例行肝癌切除术的Child-Pugh C级伴有肝炎肝硬化的肝癌患者进行回顾性分析。[结果]两组术中出血量、手术时间、并发症发生率和手术死亡率比较,差异均无统计学意义(P﹥0.05)。[结论]通过选择合理术式,术中控制大出血,加强围手术期治疗,可明显增加手术可行性,大大减少手术死亡率。[Objective]To study the feasibility and reduce the operative mortality of liver cancer resection of Child-Pugh grade C hepatocellular carcinoma with hepatitis and hepatic cirrhosis patients.[Methods]The Child-Pugh class A and class B were as comparison groups.Retrospectively analyzed 20 cases of liver cancer resection of Child-Pugh grade C hepatocellular carcinoma with hepatitis and HEPATIC cirrhosis patients from 2004 to 2009.[Results]There were not significant differences in perioperative bleeding,operation time and complication rate and operative mortality（P﹥0.05）between two groups.[Conclusion]Through selecting rational operative ways,controlling perioperative bleeding,strenghening peroperative period treatment can obviously increase the feasibility and reduce the operative mortality.

关 键 词：CHILD-PUGH C级 手术死亡率 肝癌切除术 肝炎肝硬化 

分 类 号：R735.7[医药卫生—肿瘤]