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70 例老年(年龄≥60岁)PHC资料进行回顾性分析.结果 70例中64例术后恢复出院,6例围手术期死亡(8.6%),术后大量腹水27例,胸腔积液21例,肺部感染19例,心功能衰竭11例,切口感染10例,大出血7例,肝功能衰竭4例.术后随访,7例半年内肝内复发并死亡,1年存活率81.4%(57/70),3年存活率45.2%(19/42).结论 手术仍是老年人原发性肝癌的首选治疗方法,应注重围手术期处理、手术指征及术中操作技巧.
Objective To evaluate the clinical curative effect of surgical treatment for elderly primary hepatic carcinoma (PHC). Methods The clinical data of 70 cases of elderly patients ( age 1〉60) with PHC subject to surgical operation from May 2001 to October 2007 in our hospital were retrospectively analyzed. Results Sixty - four elderly patients with PHC were cured, and 6 died (8.6%). Postoperative complications were as follows- 27 cases of seroperitoneum, 21 cases of pleural effusion, 19 cases of pneumonia, 11 cases of congestive heart failure, 10 cases of infection of incisional wound,7 cases of massive haemorrhage, and 4 cases of hepatic failure. Pospoperative follow - up revealed that 7 cases re- curred and died in half of year,and one - and 3 year- survival rate was 81.4% (57/70) and 45.2% (19/42) respectively. Conclusion Surgical operation was the first choice for elderly PHC. Attention should be paid to perioperative management, surgical indications, and surgical skills.
出处
《临床外科杂志》
2009年第9期611-612,共2页
Journal of Clinical Surgery
关键词
肝肿瘤
外科手术
生存率
老年
hepatic carcinoma
surgical operation
survival rate
elderly