肝癌是我国常见的恶性肿瘤之一,病死率很高,而门静脉癌栓的出现表明肝癌已近中晚期,预后很差。随着对门静脉癌栓认识的深入和手术技术的改进,肝癌伴门静脉癌栓患者临床疗效有了较大幅度的提高。本文就近年来临床常用的手术治疗,肝动脉、门静脉置泵术,肝动脉栓塞化疗,肝动脉、门静脉双插管灌注栓塞化疗术,癌栓内无水酒精注射,门脉血管支架放置,超声消融术,放射疗法等治疗方法的进展及疗效等作一阐述。 Liver cancer is one of the common malignant tumors in our country, with a high case fatality rate. The appearance of portal vein tumor thrombus shows that liver cancer is near or in advanced stage and the prognosis is poor. With the deepening understanding of portal vein tumor thrombus and surgical techniques improved, the clinical efficacy of hepatocellular carcinoma with portal vein tumor thrombus has been greatly improved. In this paper, in recent years, commonly used in clinical surgery, hepatic artery, portal vein pump, hepatic arterial chemoembolization, hepatic artery, portal vein dual cannulation perfusion and chemoembolization, intraluminal alcohol injection, stent placement, ultrasound ablation Surgery, radiation therapy and other treatment progress and efficacy for an elaboration.