肝癌自发性破裂的外科诊治

Diagnosis and surgical treatment of spontaneous rupture of liver cancer

目的:对肝癌自发性破裂出血的临床表现、发病机理及治疗方法进行探讨。方法:对63例肝癌自发性破裂患者进行回顾性分析。结果:该组肝癌自发性破裂出血患者中,手术治疗47例,选择性肝动脉栓塞9例,保守治疗7例;4例死于失血性休克,3例于术后死于肝肾功能衰竭,其余患者均经相应的保守治疗或手术治疗和围手术期处理后出血得以控制。结论:准确的诊断、积极有效的围手术期处理与正确的术中处理或有效的保守治疗是肝癌自发性破裂出血治疗的重要措施。

Objectlve：To explore the causes,diagnosis and treatment for rupture and bleeding of the liver cancer. Methods：Sixty three patients with rupture and bleeding of the liver cancer were analysed by retrospective analysis. Results：Among these patients,47 were treated by operation,9 were treated by selective hepatic artery angiography and embolization ,7 were treated by conservative therapy. And 4 patients died of hemorrhagic shock ,3 patients died of hepatic and renal function failure, other patients were healed by corresponding therapeutic managements. Conclusion： Good results of liver cancer spontaneous rupture patients can be achieved by accurate diagnosis, exact operation and active peri - operative management or effective conservative therapy.