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[目的]探讨原发性大肝癌的手术治疗方法。[方法]回顾性分析1992年2月至1999年10月间手术切除的94例原 发性大肝癌。治疗方法分Ⅰ期手术切除(78例)、肝动脉栓塞化疗(TAE)或肝动脉结扎(HAL)后Ⅱ期切除(12例)及癌块中心挖除 快速缩小后Ⅱ期切除(4例)三种。[结果]全组手术死亡3例,总的1、3及5年生存率分别为63.7%、34.4%和30.0%。[结论]尽量 保留肝组织的不规则肝切除是原发性大肝癌的有效术式, TAE/HAL的治疗效果有待提高,而癌块快速缩小后 Ⅱ期手术切除的方 法值得进一步探索。
[Objective] To investigate the surgical treatment of primary hepatocellular carcinoma. [Method] A retrospective analysis of 94 cases of primary hepatocellular carcinoma resected between February 1992 and October 1999 was performed. The patients underwent surgical resection in stage Ⅰ (78 cases), stage Ⅱ resection (TAE) or hepatic artery ligation (12 cases) and stage Ⅱ excision (4 cases) Three kinds. [Results] All the patients died of operation in 3 cases. The total 1, 3 and 5-year survival rates were 63.7%, 34.4% and 30.0% respectively. [Conclusion] It is an effective procedure to keep hepatic tissue from irregular hepatectomy as much as possible, and the therapeutic effect of TAE / HAL needs to be improved. However, the method of surgical resection of stage Ⅱ tumor deserves further exploration.