原发性肝癌破裂大出血的外科治疗  

Surgical Control of Enormous Bleeding of Primary Hepatocellular Carcinoma due to Rupture

作　　者：陈冲[1] 蒋辉[1] 张志浩[1] 

机构地区：[1]启东肝癌防治研究所,江苏启东226200

出　　处：《河南肿瘤学杂志》2002年第6期419-420,共2页Henan Journal of Oncology

摘　　要：目的　探讨原发性肝癌破裂大出血外科治疗的疗效。方法　自 1985年 1月至 2 0 0 1年 12月收治肝癌自发性破裂大出血共 68例 ,其中 3 1例经急诊手术。手术方式 :左半肝切除 5例 ,右叶局切 4例 ,尾状叶局切 1例 ,肝右动脉结扎栓塞 5例 ,肝固有动脉结扎纱布条填塞 3例 ,局部填塞止血 2例。结果　手术组中位生存期 2 2 3± 3 5个月 ,平均生存期 2 3 2个月 ;保守治疗组中位生存期 4 0± 1 9个月 ,平均生存期 4 5个月。P值 <0 0 1。结论　对于肝癌破裂大出血者 ,如符合手术指征 ,应尽可能及时手术治疗。Objective To study the effect of surgical management of vast hemorrhage due to PHC rupture.Methods 68 cases of PHC rupture with vast hemorrhage were treated during 1985.1-2001.12.During which on 31 cases was performed emergency operation,including 5 cases,of left hepatectomy,4 cases of local resection of the liver,1 case of caudatelobe resection,5 cases of right thpatic artery ligation and embolization.3 cases of ligation of proper hepatic artery with packing with pad.2 cases of local packing .Results Median and mean survival periods were 22.3±3.5 months and 22.3 months respectively in resective group;and 4.0±1.9 months and,4.5 months respectively in conservature group( P <0.01).Conclusions If the patients of PHC with rupture have no contraindications,emergent exploratory laparotomy is revommanded.

关 键 词：原发性肝癌 出血 外科手术 治疗 自发性破裂 

分 类 号：R735.7[医药卫生—肿瘤] R730.[医药卫生—临床医学]