摘要
目的分析老年人原发性肝癌(PHC)外科手术治疗临床疗效。方法对我院2001年5月至2007年10月经手术切除的156例中年(40～60岁)PHC和72例老年(年龄≥60岁)PHC进行了临床比较。结果老年病例72例中66例术后恢复出院,6例围手术期死亡(占8.3%),术后并发症:大量腹水28例,胸腔积液21例,肺部感染19例,心衰12例,切口感染10例,大出血7例,肝功能衰竭4例,并发症发生率显著高于中年组,P<0.01。术后随访,老年组8例半年内肝内复发,1年存活率80.6%(58/72),3年存活率45.2%(19/42),与中年组无差别,P>0.05。结论手术仍是老年人原发性肝癌的首选治疗方法,但应注重围手术期处理、手术指征及术中操作技巧。
Objective To analyse the clinical curative effect of primary hepatic carcinoma（PHC） in elderly patients by surgical treatment. Methods We examined the clinical curative effect of 228 consecutive patients with PHC who undergo surgical resection operation from May. 2001 to Oct. 2007, including 156 cases wrinkly （ age 40 - 60） and 72 cases older （ age ≥ 60） have been compared.Results 66 elderly patients with PHC were cured and 6 patients died （8. 3% ）. Postoperative complications were：28 cases of seroperitoneum 21 cases of pleural effusion, 19 cases of pneumonia, 12 cases of congestive heart failure, 10 cases of infection of incision,7 cases of massive haemorrhage and 4 cases of hepatic failure, the incidence rate of complication was higher than the wrinkly （ age 40 - 60 ）, P 〈 0.01. Following up the cases older （ age≥60）, 8 cases recurred in half of year, tile survival rates of 1 and 3 year were 80. 6% （58/72） and 45.2% （ 19/42 ）, have no contrast with the wrinkly （ age 40 - 60）, P 〉 0.05. Conclusions Surgical resection operation was the best therapeutic tool of the elder patients with PHC. Management in perioperative period, surgical indication and surgical skill are very important.
出处
《肝胆外科杂志》
2009年第5期353-356,共4页
Journal of Hepatobiliary Surgery
关键词
肝肿瘤
肝切除术
手术后并发症
生存率
Liver neoplasm
Hepatectomy
Postoperative complications
Survival rate
