肝细胞肝癌自发性破裂切除术后疗效观察  

Therapeutic efficiency evaluation of surgical resection after hepatocellular carcinoma spontaneous rupture

作　　者：江斌[1] 满泉[2] 陈孝平[3] 曾少波[1] 郑红梅[1] 

机构地区：[1]湖北医药学院附属太和医院肝胆外科,湖北十堰442000 [2]内蒙古通辽市医院普外科 [3]华中科技大学同济医学院附属同济医院肝胆外科

出　　处：《腹部外科》2013年第3期182-183,共2页Journal of Abdominal Surgery

摘　　要：目的探讨肝细胞肝癌（HCC）自发性破裂外科切除治疗方法及疗效。方法分析自1998年3月至2010年3月采用肝切除治疗HCC自发性破裂出血58例的临床资料。结果58例均行手术治疗，其中左外叶切除17例，左内叶切除5例，左半肝切除2例，尾状叶切除4例，右肝部分切除23例，肿瘤局部切除7例。58例中1个月内死亡3例，占5．2％，55例生存者全部获得随访，中位生存时间18．0个月，1、2、3年生存率分别为69．1％、20．0％、10．9％。结论HCC自发性破裂出血早期诊断、早期手术可延长生存期。Objective To explore the surgical resection approach after hepatocellular carcinoma （HCC） spontaneous rupture and clinical outcome. Methods From March 1998 to March 2010,total 58 patients associated with HCC spontaneous rupture underwent resection in 9ur center, and their clinical data were retrospectively reviewed. Results Among all patients, left liver segmental resection was con- ducted on 17 cases, left median lobectomy on 5 cases, left hemi-hepatectomy on 2 cases, entire caudate lobectomy on 4 cases, partial right hepatectomy on 23 cases and tumor resection on 7 cases. There were 3 deaths （5.2%） one month after surgery. The 55 survived patients were followed up. The postopera- tive median survival time was 18 months. The 1-, 2-, 3-year survival rate was 69. 1~, 20. 0~ and 10. 9~ respectively. The longest survival time was 8 years and 2 months. Conclusion Spontaneous rupture of HCC is not end-stage of tumor biology. Surgical resection is an effective way to control bleeding and improve survival rate.

关 键 词：肝肿瘤 破裂 自发性 肝切除术 

分 类 号：R445.1[医药卫生—影像医学与核医学]