重庆医学2016，Vol.45Issue(27)：3783-3784,3787,3.DOI:10.3969/j.issn.1671-8348.2016.27.012
104例肝癌破裂出血治疗结果分析
An analyses of 104 cases spontaneous rupture of hepatocellular carcinoma
摘要
Abstract
Objective To investigate the clinical management of Spontaneous rupture of hepatocellular carcinoma(SRHCC) . Methods This was a retrospective review of the clinical data of patients with SRHCC who underwent treated in the affiliate hospi‐tal of Luzhou medical college from January 2001 to December 2014 .Results Among 104 patients ,small hepatocellular carcinoma (<5 cm) were found in 11 cases ,and large hepatocellular carcinoma(>5 cm) in 93 cases .Thirty‐one cases which underwent surgi‐cal treatment ,were cured;44 underwent transcatheter arterial embolization (TAE) ,5 cases died of liver function failure;29 cases were treated conservatively ,11 cases died of huge bleeding ,18 cases gave up discharged .Twenty‐two small and medium‐sized SRH‐CC cases underwent hepatectomy survived 1to‐10 years ;8 huge sized SRHCC cases survived 5to‐13 months;one case who under‐went partial filling pressure hemostasis and hepatic artery ligation ,but died of tumor rupture again after 34 days .Sixteen cases un‐derwent TAE were followed up ,14 cases survived 3to‐10 moths ,the survival time of two cases were 3 years and 5 years ,respective‐ly .Conservative treatment group has not been followed up .Conclusion The tumours should be surgical resection as soon as possi‐ble in those whose lesions confined to the liver and may be removed ,systemic condition is good;TAE should be used for other pa‐tients .关键词
肝肿瘤/破裂/出血/止血/手术/介入治疗Key words
liver neoplasms/rupture/hemorrhage/hemostasis/surigcal resection/transcatheter arterial embolization分类
医药卫生引用本文复制引用
黎靖,雷正明,付文广..104例肝癌破裂出血治疗结果分析[J].重庆医学,2016,45(27):3783-3784,3787,3.基金项目
四川省卫计委科研项目（140030）。 （）
