不同方法治疗原发性肝癌自发性出血的疗效分析  

Efficacies of different treatment strategies in primary liver cancer with spontaneous rupture and bleeding

作　　者：雷晓东[1] 邱培才[1] 利民[1] 李苏明[1] 章晓路[1] 邓伟均[1] 

机构地区：[1]南方医科大学附属东莞市石龙人民医院普外科,广东东莞523326

出　　处：《实用临床医药杂志》2013年第16期106-107,112,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察不同方法治疗原发性肝癌(PLC)自发性破裂出血的疗效,为该病的治疗策略提供参考。方法回顾分析本院2003年1月—2012年12月收治的PLC自发性破裂出血的病人资料,其中手术治疗组33例,介入栓塞治疗组40例,统计2组止血成功率、死亡率、1年后生存率及平均生存天数的差异;比较2组术后24 h血压、心跳及血红蛋白恢复情况。结果2组患者近期止血成功率均为100.00%,介入栓塞治疗组平均生存天数、1年后生存率低于手术治疗组,死亡率高于手术治疗组(P<0.05);2组术后24 h血压、心率及血红蛋白恢复情况比较差异无统计学意义。结论手术和介入栓塞治疗PLC均能达到良好的止血效果,但是采用手术治疗能取得更好的长期疗效并降低死亡率。Objective To investigate the efficacy of different treatment strategies in primary liver cancer with spontaneous rupture and bleeding.Methods A retrospective analysis was made of clinical data of patients with spontaneous rupture and bleeding of primary liver cancer from January 2003 to Dec 2012,among whom,40 were done by intervene embolotherapy（intervene embolotherapy group）,33 were subjected to surgical treatments（surgical treatments group）.Then the rates of successful hemostasis,death and survival rates after 1 year,the average survival days of two groups were compared.Results The successful hemostasis rate of the two groups was 100 ％,the survival rate after 1 year,the average survival days of intervene embolotherapy group were less than those of surgical treatments group,and the death rate was higher than surgical treatments group.There was no difference in blood pressure,heart rate and hemoglobin at the 24th hour after the treatment between the two groups.Conclusion Both intervene embolotherapy and surgical treatments could get good hemostasis for primary liver cancer with spontaneous rupture and bleeding,but patients who take surgical treatments could get longer survival time and lower death rate.

关 键 词：原发性肝癌 自发性 出血 外科手术 介入栓塞治疗 

分 类 号：R735.7[医药卫生—肿瘤]