肝切除术治疗肝癌破裂出血30例临床分析

Clinical Analysis of 30 Cases of Liver Cancer Rupture Hemorrhage Treated by Hepatectomy

目的探讨肝切除术治疗肝癌破裂出血的临床疗效。方法回顾性分析2010年3月~2012年9月我院收治的60例肝癌破裂出血患者的临床资料,将其随机分为观察组和对照组,各30例,对照组行肝动脉化疗栓塞术,观察组行肝切除术,观察分析两组患者的生存率。结果治疗结果显示,对照组1、2、3年生存率分别为29.0%、16.6%、6.6%;观察组1、2、3年生存率分别为86.6%、73.3%、56.6%;两组比较差异有统计学意义（P〈0.05）。结论肝切除术治疗肝癌破裂出血可以取得良好的临床疗效。

Objective To investigate the clinical curative effect of liver resection in the treatment of ruptured liver cancer with hemorrhage. Methods 60 cases of patients with ruptured liver cancer with hemorrhage were analyzed from March 2010 to September 2012 in our hospital, which were randomly divided into observation group and control group, 30 cases of control group, hepatic artery chemoembolization group liver resection, observing and analyzing the survival rates of two groups of patients. Results The treatment, according to the results of the control group 1, 2, 3 year survival rate are 29.0%, 16.6% and 6.6% respectively. Observation group 1, 2, 3 year survival rate are 86.6%, 73.3% and 56.6% respectively, is similar between the two groups was statistically significant（P〈0.05）. Conclusion Liver resection in the treatment of ruptured liver cancer with hemorrhage can achieve good clinical curative effect.