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| 门静脉高压症合并肝癌的外科治疗 | |
| 引用本文： | 吴泰璜,穆庆岭,耿建利,王太泽,刘维胜,司宝才.门静脉高压症合并肝癌的外科治疗[J].山东医药,2000,40(23):15-16. |
| 作者姓名： | 吴泰璜 穆庆岭 耿建利 王太泽 刘维胜 司宝才 |
| 作者单位： | 1. 山东省立医院 山东济南 250021 2. 威海市立医院 3. 山东省煤矿总医院 |
| 摘 要： | 报道门静脉高压症（ＰＨＴ）合并肝癌（ＰＨＣ）患者９例，施行肝叶切除术及脾切除、断流术８例，另１例因左、右肝均 灶，仅行剖腹探查术，术后随访６个月至３年，１例多发肿瘤患者于术后９个月死亡；１例肝癌复发并肺内转移者于术后１８个月死亡；余７例肝癌无复发，未发生消化道出血，情况良好，其中５例已恢复术前工作，提示ＰＨＴ合并ＰＨＣ患者只要条件允许，应同期施竽肝叶切除加脾切除、断流术，可延长生存时间，改善生活质量。 |
| 关 键 词： | 门静脉高压症 原发性肝癌 并发症 外科手术 |
| 修稿时间： | 2000年9月27日 |
Surgical treatment of portal hypertension patients with primary hepatic cancer |
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| Wu Taihuang,Mu Qingling,Geng Jianli,et al.Surgical treatment of portal hypertension patients with primary hepatic cancer[J].Shandong Medical Journal,2000,40(23):15-16. | |
| Authors: | Wu Taihuang Mu Qingling Geng Jianli et al |
| Abstract: | cases of portal hypertension(PHT)with primary hepatic cancer(PHC)were surgically treated Eight patients underwent hepatectomy and splenectomy plus pericardiac devascularizasion(PCDV) One patient underwent laparotomy because multiple liver tumors were found after examination Eight patients were followed up 6 to 36 months after surgery,one patient underwent laparotomy and died 9 months after surgery One died of intrahepatic recurrence and lung metastasis after 18 months of surgery The other seven patients had no intrahepatic recurrence and no recurrent hemorrhage from esophageal varices after surgery For PHT to with PHC,hepatectomy and splenectomy plus PCDV should be performed to prolong survival time if they can tolerate the operation |
| Keywords: | Portal hypertension Primary hepatic cancer Surgical treatmep |
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