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目的 探讨肝切除治疗原发性肝癌自发性破裂 (简称肝癌破裂 )的作用。方法 分析我院 1973年以来采用肝切除术治疗肝癌破裂 12例的临床资料。结果 本组男 10例 ,女 2例。平均年龄 42 ( 2 2— 6 5 )岁。 11例为急症肝切除术 ,1例为 2期肝切除 ,包括肝左外叶切除 6例 ,左内叶切除 1例 ,左半肝切除 1例 ,右肝部分切除 2例 ,肿瘤局部切除 2例。本组中Child Paugh肝功能分级A组的 11例中无死亡 ;B组者 1例术后死于肝衰 ,手术死亡率为 8.3%。术后生存的 1例均获随访 ,平均生存时间为 16 .5个月 ,1,3 ,5年生存率分别为 72 .7,18.2 % ,9.1%。其中 1例已无瘤生存 2 5年 9个月。结论 肝切除是治疗肝癌破裂的最好方法 ,当有可能时应争取施行。肝切除治疗肝癌破裂可能使患者获行长时间生存。
Objective To investigate the effect of hepatectomy on spontaneous rupture of hepatocellular carcinoma (HCC). Methods The clinical data of 12 cases of liver cancer rupture treated by liver resection in our hospital since 1973 were analyzed. Results The group of 10 males and 2 females. The average age of 42 (2 2- 6 5) years old. Eleven cases were acute hepatectomy and one case was stage 2 hepatectomy, including 6 cases of left hepatic resection, 1 case of left endoectomy, 1 case of left hepatectomy, 2 cases of partial resection of the right liver, and 2 cases of tumor resection example. The group of Child Paugh liver function grading A group of 11 patients died; B group, 1 patient died of liver failure, the operative mortality was 8.3%. One case of postoperative survival was followed up, the average survival time was 16.5 months, and 1,3 and 5 year survival rates were 72.7%, 18.2% and 9.1% respectively. One of them had no tumor to survive for 25 years and 9 months. Conclusions Hepatectomy is the best treatment for the rupture of liver cancer and should be pursued when possible. Hepatectomy for the rupture of liver cancer may allow patients to be long-term survival.