巨大肝癌姑息切除术后辅加栓塞化疗的疗效分析

Analysis of effect of adjuvant chemoembolization on large hepatocellular carcinoma after palliative hepatectomy

目的 :探讨巨大肝癌姑息切除术后生存率的方法。方法 :从 1990年 4月至 2 0 0 0年 4月 ,对中山大学肿瘤医院 132例巨大肝癌姑息切除术后辅加肝动脉栓塞化疗的病人作回顾性分析。结果 :对肝巨大肝癌姑息性切除术后 1～ 2月辅加栓塞化疗 ,能提高其术后生存率 ,而肝左叶肝癌姑息怀切除术后。结论 :①姑息切除术后辅加肝动脉栓塞化疗是治疗中晚期原发性肝癌的有效方法。②肝左叶巨大肝癌姑息性切除术后辅加栓塞化疗疗效优于右叶。

Objective: To evaluate ways to improve survival rate of large hepatocellular carcinoma in left hepatic lobe after palliative hepatectomy. Method: A total of 132 patients with large hepatocellular carcinoma underwent adjuvant transarterial chemoembolization after palliative hepatectomy in cancer center of Sun.Yat-sen university,from April ,1990 to April ,2000, were analysed retrospectively. Result: Adjuvant transarterial chemoembolization one or two month after palliative hepatectomy for large hepatocellular carcinoma in left hepatic lobe can improve survival rate after operation. Conclusion: ①Adjuvant transarterial chemoembolization after palliative hepatectomy is effective way to treat advanced primary liver cancer . ②Effect of adjuvant transarterial chemoembolization after palliative hepatectomy on large hepatocellular carcinoma in left hepatic lobe is superior to that in right hepatic lobe.