原发性肝癌非规则性肝切除的疗效观察
安东均 王旗
摘 要
目的：探讨非规则性肝切除术治疗原发性肝癌的临床疗效。
方法：1995年1月～2003年5月采用非规则性肝切除治疗原发性肝癌106例，随访1～5年.对其临床资料进行分析。
结果：8例在术后3个月内死于肝肾功能衰竭，98例恢复良好。术后1年、3年、5年的生存率分别为84.9%、34.7%、27.8%。
结论：非规则性肝切除是治疗原发性肝癌的有效方法，特别对于合并肝硬化的患者更有临床应用价值。
关键词
原发性肝癌；肝切除术
ABSTRACT
Objective:To investigate the clinical effect of irregular hepatectomy for primary liver cancer.
Methods:From January 1995 to May 2003，106 cases of primary liver cancer were treated by irregular hepatectomy，followed up for 1～5 years，and their clinical data were analyzed.
Results：8 cases died of liver and kidney failure within 3 months after operation，and 98 cases recovered well.The 1-year，3-year，and 5-year survival rates were 84.9% ，34.7% ，and 27.8% ，respectively.
Conclusion:lrregular hepatectomy is the treatment of primary liver cancer.Effective methods，especially for patients with liver cirrhosis，have more clinical application value.
KEY WORDS
primary liver carcinoma；hepatectomy
随着我国肝癌广泛普查，小肝癌比例的上升及合并肝硬化患者治疗的需要，非规则性肝局部切除逐渐取代规则性肝切除成为原发性肝癌外科治疗的主要术式。我科1995年1月～2003年5月采用非规则性肝切除术治疗原发性肝癌106例，现就其治疗效果分析如下。