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本文报道自1967年8月至1984年10月切除的72例小肝癌(直径≤5cm)的远期结果。其1、3、5年生存率(寿命表法)分别为87.7、74.7和72%。与此同时,切除大肝癌(直径>5cm)71例,其生存率为45.2、21.1和17.6%。两组有显著差异(P<0.001)。72例小肝癌中,52例仍生存,有29例已恢复工作或家务劳动,其中有3例青年患者已结婚生育。分析影响术后生存率诸因素中,发现术后甲胎蛋白转正常和根治性切除者预后满意。根治术后亚临床复发或单个肺转移予以再切除,可延长病人生存期。
This article reports the long-term results of 72 small hepatocellular carcinoma (diameter ≤ 5cm) removed from August 1967 to October 1984. The 1-, 3-, and 5-year survival rates (lifetime table method) were 87.7, 74.7, and 72%, respectively. At the same time, 71 patients with large hepatocellular carcinoma (>5 cm in diameter) had a survival rate of 45.2, 21.1, and 17.6%. There was a significant difference between the two groups (P<0.001). Of the 72 cases of small hepatocellular carcinoma, 52 cases were still alive, and 29 cases had returned to work or housework, among which 3 cases of young patients had been married and gave birth. Analysis of factors affecting postoperative survival rate revealed that the prognosis of postoperative AFP transfer to normal and radical resection was satisfactory. Sub-clinical recurrence or single lung metastasis after radical resection can be re-excised to prolong patient survival.