摘要
目的探讨原发性肝癌自发性破裂出血的临床特点和有效的治疗方法。方法回顾性分析1990-2005年间收治的21例原发性肝癌自发性破裂出血患者的临床资料。结果经手术治疗的15例全部达到止血目的。急诊肝癌切除术10例，局部缝扎加肝动脉结扎、大网膜填塞缝扎各2例;介入治疗3例中止血2例，1例中转手术治疗，另4例非手术治疗。手术组1、3、5年存活率分别为66.7%、13.3%、6.7%，非手术治疗组1年生存率为零。结论原发性肝癌自发性破裂出血并不一定是肝癌的终末期表现。手术治疗仍是本病最为有效的治疗方法。
Objective To investigate the clinical characteristic and best treatment for Spontaneous rupture with hemorrhage of primary hepatic carcinoma（SRHC）. Mehtods The clinical data of 21 patients with SRHC treated by operation or non-operation from 1990 -2005 were retrospectively analyzed. Results 15 of the 21 patients underwent surgical treatment all have evident effect on hemostasis. 10 cases treated by hepatectomy, local suture and hepatic arterial ligation in 2 cases, packing with omentum in 2 cases ;3 patients underwent TAE,2 cases haveevident effect on bemostasis,the other transform operation. 4 cases were treated by conservative therapy. The survival rate of 1-year,3-year,5-year were 66. 7% .13.3% .6. 7% in operation group,and 1-year survival rate of non-operation group were zero. Conclusion SRHC isn＇t all the end-stage of primary hepatic carcinoma. Surgical treatment is still the best choice for treatment SRHC.
出处
《肝胆外科杂志》
2007年第3期186-188,共3页
Journal of Hepatobiliary Surgery
关键词
原发性肝癌
破裂出血
自发性
治疗
Primary hepatic carcinoma
Rupture and bleeding
spontaneous
treatment
