17例原发性肝癌自发性破裂的诊断与外科治疗  

Diagnosis and treatment of spontaneous rupture of primary liver cancer: the report of 17 cases.

作　　者：覃谦[1] 王力斌[1] 李洪[1] 李君久[1] 陈顺文[1] 

机构地区：[1]东华医院外二科,广东东莞523013

出　　处：《临床肿瘤学杂志》2003年第6期422-423,426,共3页Chinese Clinical Oncology

摘　　要：目的:探讨原发性肝癌自发性破裂出血的诊断和治疗。方法:回顾性分析我院7年来收治17例原发性肝癌自发性破裂出血行肝叶或非规则性肝叶切除术的临床资料。其中肝叶切除术加门静脉、肝动脉置化疗泵双化疗7例;单纯经周围静脉化疗6例;术后行一周期化疗3例。结果:1例于术后一周转回当地医院治疗。术后随访15例,生存期10个月-1年41.2％,1.2—2.3年53％,3.4年5.9％。结论:肝叶或非规则性肝叶切除术对原发性肝癌自发性破裂出血是有效的止血方法和达到肿瘤根治的治疗效果。而术中同时进行门静脉和肝动脉置化疗泵共术后定期化疗可以预防复发和延长患者的生存期。Objective: To evaluate diagnosis and surgical treatment rupture of spontaneous of primary liver cancer. Methods: 17 cases with spontaneous rupture of primary liver cancer underwent lobectomy or segmentectomy from July 1997 to December 2001, and were followed up. The results were analysed retrospectively. Results: 15 cases were followed up, the survival time for 10 months-1 years was 41. 2% , for 1. 2 years -2.3 years was 53% , for 3. 4 years was 5. 9% . Conclusion: Lobectomy or segmentectomy for treatment of spontaneous of primary liver cancer is effective hemostasis and can improve curative effect of primary liver cancer. In additional , Portal vein and liver artery chemotherapy in combination and regular chemotherapy after operation can prevent recurrence and prolong survival time.

关 键 词：原发性肝癌 诊断 外科 治疗 手术 化疗 

分 类 号：R735.7[医药卫生—肿瘤]