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目的 研究肝癌复发后的不同治疗方法带来的预后生存的不同。方法 对 2 71例肝癌切除后复发的 132例患者复发情况进行分析 ,同时比较复发后不同治疗方法的结果。结果 6 7%的肿瘤复发位于肝内 ,而且其中近一半是局限性复发 ,这些病例经再次肝切除、经肝动脉插管化疗栓塞或经皮无水酒精注射治疗后 ,5年生存率可达 30 %。同时发现肝移植亦不失为一种好的方法。结论 对于复发性肝细胞肝癌积极的外科治疗可获好的疗效。
Objective To study the difference in prognosis and survival caused by different treatment methods after liver cancer recurrence. Methods The recurrence of 132 cases with recurrence after resection of 2 71 cases of hepatocellular carcinoma was analyzed. The results of different treatment methods after relapse were compared. Results Sixty-seven percent of the tumors recurred in the liver, and nearly half of them had localized recurrences. The 5-year survival rate of these cases after re-hepatectomy, transcatheter arterial chemoembolization, or percutaneous ethanol injection was comparable. 30 %. It has also been found that liver transplantation is a good method. Conclusion The positive surgical treatment for recurrent hepatocellular carcinoma can obtain good curative effect.