门静脉高压症合并肝癌临床较为常见,治疗棘手。近10年间,我院外科治疗门静脉高压症405例,其中合并肝癌采取同步手术8例、术后随访发现肝癌5例,报告于下。一、临床资料1.同步手术组8例,男7例、女1例,年龄33～58岁。均有脾大、脾机能亢进,食管胃底静脉曲张伴多次出血、腹水等门静脉高压症症状和体征。术前经 B 超和 CT 检查,发现肝脏占位病变位于肝右叶5例,左叶3 Portal hypertension with liver cancer is more common clinical treatment is tricky. In the past 10 years, 405 cases of portal hypertension have been surgically treated in our hospital. Among them, 8 cases were treated with simultaneous liver cancer and 5 cases of liver cancer were found after follow-up. First, clinical data 1. 8 cases of synchronous surgery group, 7 males and 1 female, aged 33 to 58 years old. All have splenomegaly, spleen hyperactivity, esophageal varices with multiple bleeding, ascites and other symptoms and signs of portal hypertension. Preoperative B-ultrasonography and CT examination revealed that the lesions of the liver were located in the right lobe of the liver in 5 cases and the left lobe in 3 cases.