摘要
总结２８３例原发性肝癌自发性破裂的治疗结果。非手术治疗１６３例，ＡＦＰ转阴率为０，多数１月内死亡，６月生存率１，２％；手术治疗１２０例，其中单纯止血５９例ＡＦＰ转阴率、６月、１年生存率分别为２．４％、７６．１％、３．６％；止血后并用肝动脉插管治疗２４例，ＡＦＰ转阴率、６月、１、２年生存率分别为３７．５％、７９．１％、５８．３％、１７．４％；肝叶切除３７例，ＡＦＰ转阴率、６月、１、２、３年生存牟分别为６８．ｏ％、８６．５％、４５．９％、２６．５％、１０．８％。提示肝癌自发性破裂出血，手术治疗优于非手术治疗，肝叶切除优于止血治疗，止血后并用肝动脉插管治疗优于单纯止血治疗。
cases of primary hepatoccllu lar carcinoma(PHC)with spontaneous liverrupture were studicd.163 cases got conservative trcatment,and the rate of AFP return tonegative was zero. Most of thesc cases died within l month after rupture. The 6 month survivalrate was l.2%.120 cases received surgical operatiOn. 59 cases vverfe performed for hemostasis.The rate of AFP return to negative,and the 0.5,1 year survival rate were 2.4%,76.1/,and 3.6%,respectively,24 cases were pcrformed for hemostasis with hcpatic artery chemotherapy.The rate of AFP return to negative was 3 7.5%,and the 0.5,1,2 year survival rate were79.1%,58.3%,and 17.4%,respectiveiy,37 cases were treated by hepatectomy.The rate ofAFP retum to negative was 68.0%,and the 0.5,1,2, 3year survival rates were 8 6.5%,45.9%, 26.5,and l0.8%,respectively. The resuIt suggested that in treatmtent of PHC withliver rupture,surgical approach was better than conservative mangement Hcpatectomy was thLebest. Hemostasis combined with hepatic artery chemotherapy was better than hemostasis dlone.
出处
《肿瘤研究与临床》
CAS
1996年第2期95-97,共3页
Cancer Research and Clinic
关键词
肝癌
自发性破裂出血
外科手术
Liver Primary hepatocellu lar carcinoma(PHC)Sponlaneous rupture andhemorrhage Surgical operation
