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目的:探讨肝脏移植在原发性肝癌治疗中的意义。方法:回顾分析2002年9月~2005年3月3例原发性肝癌行原位肝移植的临床资料。结果:病例1术后6个月出现肝癌骨转移死亡,病例2术后5个月出现肝癌复发,术后6个月死亡,病例3术后2月因肾功能衰竭并发严重感染死亡。结论:严格掌握肝癌肝移植的适应症,加强围手术期预防肝癌复发和转移的措施有利于提高肝移植治疗肝癌的疗效。
Objective: To investigate the significance of liver transplantation in the treatment of primary liver cancer. Methods: The clinical data of 3 cases of primary liver cancer undergoing orthotopic liver transplantation from September 2002 to March 2005 were retrospectively analyzed. Results: Case 1 died of bone metastasis of liver cancer 6 months after operation. Case 2 recurred from liver cancer 5 months after operation and died 6 months after operation. Case 3 died of renal failure and serious infection in February after operation. Conclusion: Strict grasp of the indications of liver transplantation for liver cancer, perioperative measures to prevent recurrence and metastasis of liver cancer is conducive to improving the efficacy of liver transplantation in the treatment of liver cancer.