论文部分内容阅读
目的 探讨原发性肝癌自发性破裂急诊止血术后再治疗方法。方法 63例病人随机分成三组 ,即手术探查组 ,介入化疗 +腹腔化疗组及保守治疗组 ,分别作相应处理后比较三组病人的治疗效果。结果 手术探查组术后 1年生存率达 74.1% ,高于其它二组 (P <0 .0 5 )。结论 对肝癌自发性破裂止血术后的病人 ,应根据具体情况 ,选择合适病人尽早手术探查。除对原发灶进行处理外 ,还可清除切口及腹盆腔内的种植转移灶 ,使临床疗效更好。
Objective To investigate the re-treatment of spontaneous rupture of primary hepatocellular carcinoma after hemostasis. Methods Sixty-three patients were randomly divided into three groups: surgical exploration group, interventional chemotherapy + intraperitoneal chemotherapy group and conservative treatment group. The treatment effect was compared among the three groups after corresponding treatment. Results The 1-year survival rate of surgical exploration group was 74.1%, higher than the other two groups (P <0.05). Conclusion For patients with spontaneous rupture of liver cancer after hemostasis, according to the specific circumstances, select the appropriate patient as soon as possible surgical exploration. In addition to the treatment of the primary foci, but also clear the incision and abdominal metastasis implantation, the clinical efficacy better.