摘要
目的探讨原发性肝癌自发性破裂出血的诊断和治疗方法。方法回顾性分析本院自1996年7月至2004年7月收治38例原发性肝癌破裂出血的临床资料。结果38例患者中9例行保守治疗,术后病死率为67%(6/9);29例行手术治疗,手术方法有不规则肝切除术,肝动脉结扎+填塞缝合止血术,单纯填塞缝扎止血术,术后病死率分别为25%(3/12),56%(5/9),62%(5/8)。结论原发性肝癌破裂出血行肝切除术不但可以有效彻底地止血,而且可以达到切除病灶的目的,是一种安全,可行的方法。如果病人情况不允许,可先行保守治疗,争取行Ⅱ期或延期肝切除术。
Objective To investagate the diagnostic and therapeutic methods of spontaneous ruptured bleeding of primeny liver cancer.Methods From July 1996 to July 2004, the Clinical data of 38 cases with spontaneous ruptured bleeding of primary liver cancer were analyzed retrospectively. Results Among them,9 cases underwent Conservative treatment.The Fatality rate was 67% （6/9） within one month after operation.29 cases underwent operative treatment.The operative procedures had irrgular hepatectomy,hepatic artery ligation plus packing and sutuning hemostasis and simple packing and sutured ligation heemostasis.The Fatality rate was 25% （3/12）,56% （5/9）and 62% （5/8） respectively within one month after operation.Conclusion Spontaneous ruptuned bleeding of liver cancer received hepatectomy can not only take the effective hemostasis but also reach to resecting focus. So, it is a safe and feasible method.If patients condition is not be permitted, the conservative treatment should be performed at first, And then the secondary or delayed hepatectomy can be strived.
出处
《岭南现代临床外科》
2005年第3期168-169,172,共3页
Lingnan Modern Clinics in Surgery
关键词
肝癌
破裂
诊断
手术
Liver cancer
Rupture
Diagnosis
Operation
