原发性肝癌合并门静脉高压症的外科手术治疗

Surgical treatment of primary liver cancer associated with portal hypertension

目的探讨原发性肝癌合并门静脉高压症的手术方法。方法回顾分析我科1993年10月至2008年10月治疗原发性肝癌合并门静脉高压症128例。结果术中分别采用了肝切除、肝切除加门奇静脉断流、肝切除加脾切除、肝切除加脾动脉结扎，肝癌射频消融加门奇静脉断流或脾切除。结论应根据具体情况，对原发性肝癌合并门静脉高压症患者应采用不同的手术治疗方式。

Objective To investigate the surgical treatment of primary liver cancer associated with portal hypertension（PHT）. Methods The clinical data of 128 with primary liver cancer associated with PHT surgically treated in our hospital from October 1993 to October 2008 were retrospectively analyzed. Results They received hepatectomy,hepatectomy ＋ paraesophagogastric devascula-rization,hepatectomy ＋ splenectomy,hepatectomy ＋ ligation of splenic artery,hepatic carcinoma radiofrequency ablation ＋ paraesophagogastric devascularization or splenectomy. Conclusion The exact therapeutic strategy should be used according to the concrete situations of primary liver cancer associated with PHT.