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本文对1964~1978年14年间经腹腔镜证实的181例肝硬化作回顾性研究,以确定腹腔镜检查在判断肝硬化远期预后中的价值。 181例肝硬化病人中,1、3、5、10、14年生存率分别为90%、69%、55%、32%和25%,生存率与性别无明显关系,而与下述诸因素有关。肝脏右叶肿大与萎缩右叶肿大型的5年及10年生存率分别为68%及60%,高于右叶萎缩型的5年及10年生存率(36%及13%,P<0.01)。右叶正常者5年生存率为58%,界于两者之间,故右叶愈小其预后愈差。肝脏结节大小肝表面结节外径小于3mm者为小结节,6mm以上为大结节,3~6 mm者为中结节。小结节型的5年和10年生存率分别为70%和49%。中、大结节型则分别为39%和19%,与小结节
In this paper, we retrospectively reviewed 181 cases of cirrhosis confirmed by laparoscopy during the 14 years from 1964 to 1978 to determine the value of laparoscopy in predicting the long-term prognosis of cirrhosis. Among the 181 patients with cirrhosis, the survival rates at 1, 3, 5, 10 and 14 years were 90%, 69%, 55%, 32% and 25% respectively. There was no significant relationship between survival and sex, related. The 5-year and 10-year survival rates of enlarged and contracted right lobe of the right lobe of the liver were 68% and 60%, respectively, higher than those of the right lobe atrophy at 5 and 10 years (36% and 13%, P < 0.01). The 5-year survival rate of right lobe normal 58%, bound in between the two, so the smaller the right lobe, the worse the prognosis. Liver nodule size of the liver surface nodules less than 3mm were small nodules, 6mm or more for the large nodules, 3 ~ 6mm for the nodules. The 5-year and 10-year survival rates of tuberculum are 70% and 49%, respectively. The large nodules were 39% and 19%, respectively, with small nodules