肝中叶切除治疗中央区原发性肝癌  

Experience of mesohepatectomy in the treatment of central primary hepatocellular carcinoma

作　　者：姚竞智[1] 侯传伟[1] 董趁捧[1] 赵乐平[1] 

机构地区：[1]吉化集团公司总医院,吉林吉林132022

出　　处：《中国医药科学》2013年第3期175-176,共2页China Medicine And Pharmacy

摘　　要：目的对中央区原发性肝癌手术治疗的临床效果和体会进行分析探讨,为今后的临床诊疗工作提供可靠的参考依据。方法随机抽取2007年6月～2009年12月医院收治的中央区原发性肝癌临床患者74例,将其分成对照组和观察组,而后分别采取半肝切除和切除肝中叶的手术方法进行治疗,对比分析两组患者并发症发生率及术后1、3年生存率。结果观察组术后并发症发生率较对照组低,差异有统计学意义(P<0.05)。术后1、3年生存率表现为观察组较对照组高,差异有统计学意义(P<0.05)。结论采取切除肝中叶的手术方式治疗中央区原发性肝癌的临床效果显著,术后生存率高,并发症发生率低,值得推广。Objective To discuss clinical effect and experience of operation treatment in central primary bepatoeellular carcinoma and provide reliable reference for future clinical work. Methods 74 cases of patients with central primary hepatocellular carcinoma from June 2007 to December 2009 were selected and divided into control group and observation group, then two groups were given half liver resection and mesohepatectomy treatment. The complication rate, postoperative l, 3 year survival rate of two groups were analyzed. Results The postoperative complication rate of observation group was lower than control group （P 〈 0.05）, and 1, 3 year survival rate was higher than control group （P 〈 0.05）. Conclusion The effect of mesohepatectomy treatment in central primary hepatocellular carcinoma is obvious, the postoperative survival rate is high, the complications rate is low, so it is worthy of promotion.

关 键 词：中央区原发性肝癌 手术治疗 切除肝中叶 生存率 并发症 

分 类 号：R735.7[医药卫生—肿瘤]