报道门静脉高压症 (PHT)合并肝癌 (PHC)患者 9例 ,施行肝叶切除术及脾切除、断流术 8例 ,另 1例因左、右肝均有癌灶 ,仅行剖腹探查术。术后随访 6个月至 3年 ,1例多发肿瘤患者于术后 9个月死亡 ;1例肝癌复发并肺内转移者于术后 18个月死亡 ;余 7例肝癌无复发 ,未发生消化道出血 ,情况良好 ,其中 5例已恢复术前工作。提示 PHT合并 PHC患者只要条件允许 ,应同期施行肝叶切除加脾切除、断流术 ,可延长生存时间 ,改善生活质量。 Nine patients with portal hypertension (PHT) combined with hepatocellular carcinoma (PHC) were reported to have performed hepatectomy and splenectomy and devascularization in 8 cases. Another patient had left and right liver lesions. Only laparotomy was performed. During follow-up from 6 months to 3 years after surgery, 1 patient with multiple tumors died 9 months after surgery; 1 patient with recurrence of hepatocellular carcinoma and lung metastasis died 18 months after surgery; the remaining 7 patients with hepatic cancer had no recurrence and no digestion occurred. Road bleeding was good and 5 of them had resumed preoperative work. Tip Patients with PHT and PHC should perform hepatectomy with splenectomy and devascularization at the same time as long as conditions permit. This can prolong survival time and improve quality of life.