【摘要】 目的:总结合并门静脉高压症肝癌患者的外科治疗经验。方法:回顾性分析1998年1月至2003年9月外科手术的27例合并门静脉高压症肝癌患者的手术资料、术后近期并发症及随访情况。其中4例术前或术后行脾动脉检塞术、2例行胃冠状静脉缝扎术,另行单纯脾切除术、单纯贲门周围血管断离术及脾切除并贲门周围血管断离术各1例。结果:除1例术后2周因上消化道大出血、肝昏迷死亡(手术死亡率3.7％)外,其余26例皆康复出院。术后近期并发症发生率74.1％,术后3月、6月及1、2、3、5年生存率分别为88.9％、70.3％、55.6％、37.0％、29.6％、0％。结论:合并门静脉高压症肝癌的手术切除有较高的并发症,合理的围手术期处理仍可保证手术的安全及术后顺利恢复。手术切除可以延长合并门静脉高压症肝癌患者的生存期。更多还原

【Abstract】 Objective:To study the surgical management for hepatocellular carcinoma with portal hypertension.Methods:From Jan,1998 Ao Sep,2003 there were 27 hepatocellular Carcinoma patients with portal hypertension in our department.They received hepatic lobectomyonly or combined with operation on hepatocellular carcinoma and portal hypertension.Results: Operative mortality and complication rate were3.7% and 74.1% respectively,the postoperative survival rates of 3-、6- month and 1-、2-、3-、5-year were 88.9%,70.3%,55.6%,37.0%,29.6% and 0% respeotinely.Conclusion:Our study suggestes that the surgical treatmnt for hepatocellular Carcinoma with portal hypertensioncan prolong the Survinal time of patients.更多还原