原发性肝癌手术治疗后生存5年以上129例临床研究

Clinical analysis on 129 cases of primary liver cancer surviving over 5 years after surgical treatment

目的 探讨提高肝癌远期疗效的途径。方法 回顾性分析手术治疗肝癌后生存 5年以上 12 9例肝癌患者的临床资料 ,分析患者获得长期生存的可能有关因素。结果 肿瘤直径≤ 5cm(5 5 8% )、单结节 (92 2 % )、有完整包膜者 (5 2 7% )等较多 ,肝硬化者 (34 9% )和门脉癌栓 (5 4 % )均较少 ,手术完整切除者多 (94 6 % )。结论 早期发现、早期诊断和早期治疗是提高肝癌疗效的关键 ,以手术切除为主的外科综合治疗是肝癌患者获得长期生存的重要手段。

Objective To investigate the way to improve long-term survival of surgical therapy for primary liver cancer (PLC).Method129 cases of PLC who survived over 5 years after surgical treatment were studied retrospectively.The factors that might affect long-term survival were analyzed.Result Among these 129 cases survived more than 5 years after surgical treatment,55.8% had the tumor sized≤ 5 cm in diameter,92.2% were single nodule,52.7% were well encapsulated,34.9% were with hepatocirrhosis,5.4% were with tumor emboli in portal vein,94.6% had the tumor removed completely.Conclusion Early detection,diagnosis and treatment are crucial for improving curative effect of PLC. Surgery-predominant comprehensive therapy are the important method for PLC patients to improve their long-term survival.