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肝段切除治疗伴有肝硬变的肝癌

Hepatic segmentectomy for treatment of hepatic cancer with cirrhosis
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摘要 目的:对伴有肝硬变的肝癌,选择一种更为合理的术式。方法:收集肝段切除组38例,半肝切除组40例,将两组资料进行比较。所得数据用χ2检验或t检验。结果:肝段切除组和半肝切除组术后并发症分别为6例和15例(P<0.05),手术死亡为0和8例(P<0.05),平均输血量为421±321ml和630±299ml(P<0.05),平均手术时间为150±27min和200±29min(P<0.01)。术后存活5年为8例和9例(P>0.05)。 Objective:To search for better method of operation in treatment of hepatic cancer with cirrhosis.Methods:A record of 78 cases of hepatic cancer with cirrhosis were collected,including complete medical history and followup records.Of the 78 cases,hepatic segmentectomy was done in 38 and hepaticlabectomy in 40.The result of operation and survival numbers in two groups were analysed with χ2 test and ttest.Results:Postoperative complications occured in two groups were 6 and 15 cases(P<0.05).The operative mortality was 0 and 8 cases(P<0.05).Mean transfusion capacity was 421±321 ml and 630±299 ml(P<0.05).Mean operative time was 150±27 min and 200±29 min(P<0.01).Patients survived 5 years after the operation were 8 and 9 cases(P>0.05).Conclusions:Hepatic segmentectomy was a better operative method than others in treatment of hepatic cancer with cirrhosis,because both the postoperative complication and mortality rate were low.
出处 《蚌埠医学院学报》 CAS 1998年第1期13-14,共2页 Journal of Bengbu Medical College
关键词 肝肿瘤 肝硬变 肝切除术 并发症 liver neoplasms liver cirrhosis hepatectomy
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