原发性肝癌自发破裂27例诊治体会

Diagnosis and Treatment of Spontaneous Rupture of Primal Liver Cancer in 27 Cases

［目的］探讨原发性肝癌自发破裂治疗中不同处理方式的疗效。［方法］１９８１年至１９９８年２７例原发性肝癌自发破裂患者分别采用非手术治疗，冲洗引流，单纯大网膜或明胶海绵填塞修补，修补＋肝动脉插管化疗，修补＋肝动脉结扎及肝癌切除治疗。［结果］切除组的生存期大于１８个月，其它各组的生存期均少于６个月。［结论］肝癌切除显著延长了原发性肝癌自发破裂患者的生存期。

Purpose]To evaluate the therapeutic effect of various treatment methods for spontaneous rupture for primary primary liver cancer. [Methods] Twenty-seven patients with spontaneous rupture of primary liver cancer were treated in our hospital from 1981 to 1998 to 1998.The treatment includad drainage after flushing, filling and repairing with omentum or gelatinsponge, hepatic artery ligation, hepatic artery intubation chemotherapyi and selective hepatectomy. [Results] The survival in patients undergoing hepatectomy were more than 18 months, while the others were less than 6 months. [Conclusion]It is shown that liver resection significantly prolongs the patients' survival time in spontaneous rupture of primaly liver cancer.