Child-Pugh C级伴肝炎肝硬化的肝癌患者行肝癌切除术分析

Child-Pugh C级伴肝炎肝硬化的肝癌患者行肝癌切除术分析姚卫洲
【期刊名称】《中国医药导报》
【年(卷),期】2011(8)18
【摘要】Objective: To investigate the method of increase the feasibility of hepatectomy for hepatocellular carcinoma in the treatment of patients with Child-Pugh C class hepatocarcinoma associated with cirrhosis. Methods: Data of 33 patients with hepatocarcinoma who were associated with cirrhosis were analyzed retrospectively in our hospital from June 2005 to June 2010. Results: In 33 patients. Surgical blood loss 300-3 500 ml an average of (1 407.3±122.0) ml; operation time were 23-9.0 h with an average of (5.3±1.2) h; 5 patients died, the other 28 cases occurred 62 times complications such as ascites,bile leakage, infection and acute renal failure after the operation, the symptomatic were cured after treatment. Conclusion:Hepatectomy for hepatocellular carcinoma in the treatment of patients with Child-Pugh C class hepatocarcinoma who are associated with cirrhosis is difficult and risky, but as long as a reasonahle surgical would be chose, intraoperative blood loss can be controlled. perioperative treatment can be strengthened, the surgery is relatively feasible and safe.%目的:探讨Child-Pugh C级伴有肝炎肝硬化的肝癌患者行肝癌切除术增加可行性的方法,减少手术死亡率.方法:对我院2005年6月～2010年6月收治的33例行肝癌切除术的Child-PughC级伴有肝炎肝硬化的肝癌患者进行回顾性分析.结果:手术失血量为
300～3 500ml,平均(1 407.3±122.0)ml;手术时间2.3～9.0 h,平均(5.3±1.2)h.33例肝癌患者死亡5例,余28例术后出现腹水、胆漏、感染、急性肾功能衰竭等各种并发症62例次,经对症治疗均痊愈出院.结论:Child-Pugh C级伴肝炎肝硬化的肝癌患者行肝癌切除术难度大、风险大,但只要选择合理术式,术中控制出血量,加强围术期治疗,手术是相对可行和安全的.
【总页数】2页(P187-188)
【作者】姚卫洲
【作者单位】安徽省淮北市人民医院普外科,安徽淮北235000
【正文语种】中文
【中图分类】R735.7
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