原发性肝癌破裂出血诊治的临床分析  

Clinical Analysis of Diagnosis and Treatment on Ruptured Hepatooellular Carcinoma

作　　者：邹志强[1] 袁家天[1] 王兵[1] 李锋[1] 王志敏[1] 李叔强[1] 

机构地区：[1]成都大学附属医院,成都610081

出　　处：《四川解剖学杂志》2012年第4期31-32,共2页Sichuan Journal of Anatomy

摘　　要：目的探讨原发性肝癌破裂出血的诊断和治疗。方法回顾性分析我院20例原发性肝癌破裂出血的临床诊断和治疗。结果本组20例均因肝癌破裂出血后急诊住院。手术治疗18例,其中肝部分切除12例,单纯缝扎压迫止血2例,缝扎压迫加肝动脉结扎止血4例,住院死亡2例。结论肝切除是治疗原发性肝癌破裂出血最好的方法。定期的体检能减少紧急状态的发生并提高治愈率。Objective To study the diagnosis and treatment of ruptured hepatocellular carcinoma（HCC）. Methods A retrospective analysis was performed on 20 patients with HCC tumor rupture in Affiliated Hospital of Chengdu University. Results A total of 20 patients were underwent hepatic resection for HCC after emergency hospitalization. Among the 20 patients cases, Surgical treatment group was 18 cases,including 2 cases of simple suture operation,4 eases of transfixion and ligature of hepatic artery,2 case died of hemorrhage of upper digestive tract. Conclustion It is important significane of active operation to liver rupture of primary liver cancer. Reasonable selection of treatment is the key to be the relevent risk factors for rupture emergency and can improve the long-term efficacy.

关 键 词：肝肿瘤 肝切除术 肿瘤破裂 

分 类 号：R735.7[医药卫生—肿瘤]