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目的总结分析原发性肝癌外科手术切除的安全性及临床疗效。方法回顾性分析2000年3月～2008年3月在我院手术治疗的30例原发性肝癌患者的临床资料。结果本组病人均成功的完成了手术,未发生围手术期死亡的情况。在结束手术之后,患并发症的概率是10.00%,其中有1例为术后并发的肝功能障碍,1例为术后并发的消化道出血,1例属于胆漏的情况,还有1例属于膈下积液的情况。在接受了对症治疗以后患者都得到了全愈。临床治愈出院后定期进行化疗;术后3年生存率为53.75%。结论原发性肝癌首选的治疗方法是手术切除,合理掌握手术适应证,提高手术操作技巧,可减少并发症的发生。
Objective To summarize the safety and clinical efficacy of surgical resection of primary liver cancer. Methods The clinical data of 30 patients with primary liver cancer treated in our hospital from March 2000 to March 2008 were retrospectively analyzed. Results The patients in this group successfully completed the surgery and no perioperative death occurred. After surgery, the probability of suffering from complications was 10.00%, including 1 case of postoperative liver dysfunction, 1 case of postoperative gastrointestinal bleeding, 1 case of bile leakage, and 1 case. It belongs to the condition of the armpit effusion. After receiving symptomatic treatment, the patient got full recovery. After clinical cure, the patients were treated with chemotherapy regularly; the 3-year survival rate was 53.75%. Conclusion The preferred treatment for primary hepatocellular carcinoma is surgical resection, reasonable indications for surgical indications, and improved surgical techniques to reduce the occurrence of complications.