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[目的]探讨Child-Pugh C级伴有肝炎肝硬化的肝癌患者行肝癌切除术的可行性和减少手术死亡率的方法。[方法]以Child-Pugh A级和B级为对照,对某院2004～2009年收治的20例行肝癌切除术的Child-Pugh C级伴有肝炎肝硬化的肝癌患者进行回顾性分析。[结果]两组术中出血量、手术时间、并发症发生率和手术死亡率比较,差异均无统计学意义(P﹥0.05)。[结论]通过选择合理术式,术中控制大出血,加强围手术期治疗,可明显增加手术可行性,大大减少手术死亡率。
[Objective] To investigate the feasibility of liver cancer resection in Child-Pugh C-grade liver cancer patients with liver cirrhosis and to reduce the operative mortality. [Methods] Twenty Child-Pugh C-grade liver cancer patients with hepatocirrhosis treated with resection of liver cancer in a hospital from 2004 to 2009 were retrospectively analyzed with Child-Pugh class A and class B as controls. [Results] There were no significant differences in the amount of bleeding, operation time, complication rate and operative mortality between the two groups (P> 0.05). [Conclusion] By selecting appropriate surgical procedures, controlling intraoperative bleeding and strengthening perioperative treatment, the feasibility of operation can be obviously increased and the operative mortality can be greatly reduced.