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目的:对伴有肝硬变的肝癌,选择一种更为合理的术式。方法:收集肝段切除组38例,半肝切除组40例,将两组资料进行比较。所得数据用χ2检验或t检验。结果:肝段切除组和半肝切除组术后并发症分别为6例和15例(P<0.05),手术死亡为0和8例(P<0.05),平均输血量为421±321ml和630±299ml(P<0.05),平均手术时间为150±27min和200±29min(P<0.01)。术后存活5年为8例和9例(P>0.05)。结论:肝段切除术是治疗伴有肝硬变肝癌较合理的术式
Objective: To choose a more reasonable surgical method for liver cancer with cirrhosis. Methods: 38 cases of hepatic resection group and 40 cases of hemihepatectomy group were collected. The data of the two groups were compared. The resulting data was analyzed using the χ2 test or the t test. Results: The postoperative complications in the hepatectomy group and the hepatectomy group were 6 and 15 cases respectively (P<0.05). The surgical death was 0 and 8 cases (P<0.05). The average blood transfusion volume was 421. ±321 ml and 630±299 ml (P<0.05). The average operation time was 150±27 min and 200±29 min (P<0.01). The postoperative five-year survival was 8 and 9 cases (P>0.05). Conclusion: Liver segmentectomy is a reasonable approach for the treatment of liver cancer with cirrhosis