【摘要】 目的 :探讨外科手术治疗肝癌自发性破裂出血的效果。方法 :本文共收集 2 5例肝细胞性肝癌和 1例肝脏恶性组织细胞瘤自发性破裂出血的外科手术治疗临床资料 ,其中 15例行急诊肝切除术 ,6例行肝固有动脉结扎加填塞缝合术 ,5例行单纯填塞缝合止血术。结果 :1)手术止血率 96 .15 % (2 5 /2 6 ) ,仅有 1例行填塞缝合术者未能成功止血。 2 )住院死亡率为 7.6 9%(2 /2 6 ) ,分别发生于急诊肝切除组与填塞缝合组。 3)术后 1年生存率 :急诊肝切除术为 4 0 % (6 /15 ) ,肝动脉结扎加填塞缝合术为 16 .6 7% (1/6 ) ,填塞缝合术为 0 % (0 /5 )。 4 )生存 1年以上者均于术后行TACE等积极的辅助治疗。其中 3例肝切除术者生存 2年以上。结论 :急诊肝切除术是肝癌自发破裂的有效治疗手段 ,术后积极TACE等综合治疗有利于长期生存。更多还原

【Abstract】 Objective: To evaluate the effects of surgical treatment of spontaneous rupture of hepatocellular carcinoma(HCC). Methods: Twenty-six cases of spontaneous rupture of HCC were treated by surgery as below. 15 cases were performed emergency hepatectomy 6 cases were performed ligation of the common hepatic artery 5 cases were peformed packing. Results: 1)The overall surgical hemostasis was achieved successfully in 96.15%(25/26) patients. 2)The overall postoperative mortality was 7.69%(2/26). 3) While the 1-year survival rates of emergency hepatectomy,ligation of common hepatic artery, packing were 40%(6/15),16.67%(1/6),0%(0/5)respectively. Conclusion:The results suggest that surgical management of spontaneous rupture of HCC is an effective treatment. TACE followed by hepatectomy was an effective treatment in patients with ruptured HCC.更多还原