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目的 :提高原发性肝癌自发性破裂的诊治水平。方法 :对 36例原发性肝癌自发性破裂的临床资料进行回顾性分析 ,比较不同方法的近期和远期疗效。结果 :行保守治疗的 6例均在 3周内死亡。手术治疗 30例 ,死亡 7例 ,病死率 2 3.3%。在几种手术方法中 ,以急诊肝叶切除疗效最好 ,生存 1年以上的 6例中 ,肝叶切除占 5例 ,最长 1例存活 3年 8个月。肝动脉置化疗泵的疗效次之 ,5例中有 1例生存 1年以上。结论 :在病情允许的情况下应争取做急诊肝叶切除术 ,对不能切除者要用肝动脉置化疗泵的方法治疗
Objective: To improve the diagnosis and treatment of spontaneous rupture of primary liver cancer. Methods: The clinical data of 36 patients with primary hepatocellular carcinoma spontaneous rupture were analyzed retrospectively to compare the short-term and long-term efficacy of different methods. Results: All 6 patients underwent conservative treatment within 3 weeks. Surgical treatment of 30 cases, 7 died, the mortality rate of 3.3%. In several surgical methods, the best effect of emergency hepatectomy, survival of more than 1 year in 6 cases, hepatectomy accounted for 5 cases, the longest one case survived 3 years and 8 months. The treatment of hepatic artery pump followed by chemotherapy, 1 of 5 patients survived for more than 1 year. CONCLUSIONS: Emergency liver resection should be sought under conditions permitting, and treatment of unresectable patients with hepatic arterial pump