原发性肝癌52例临床分析

1986年6月～1996年1月共收治原发性肝癌52例。年龄26～68岁。HBsAg阳性率为72．3％，AFP阳性率为57．4％。病理类型：肝细胞癌47例，胆管细胞癌4例，混合型肝癌1例。所有病例均行剖腹探查，切除14例，占26．9％，其中局部切除7例。切除者的1、2、3年生存率分别为46．2％、44．4％、33．3％。未切除者38例，行姑息性外科治疗，其1、2、3年生存率分别为18．9％、11．8％、3．3％。我们认为：B超检查是肝癌诊断中最常用、最有效的办法。肝癌局部切除代替肝叶切除，能提高手术切除率，降低手术死亡率，而不影响疗效。

Clinical Analysis of Primary Carcinoma of the Liver (A Report of 52 Cases)

Fifty-two patients with primary carcinoma of the liver were treated in this department from Jun.1986 to Jan. 1996. The patient's age ranged from 26 to 68. The poitive rate of HBsAg was 72.3% .Thepositive the of AFP was 57. 4%. There were 47 cases of hepatocellular careinoma,4 cholangicarcinoma,and 1 combined hepatocellular carcinoma and cholangiocarcinoma. Hepatic resetion was performed in 14cases(26.9% )and local resection was done in 7 of the 14. In these 14 cases, the 1-,2-and 3-yearsurvial rates were 46. 2%,44 .4% and 33. 3%, respectively. There were 38 patients whose liver tumourswere not resected.Their 1-,2-and 3- year survival rates were 18.9%, 11,8% and 3.3%, respectively. We believe that ultrasonography in the most effective method to diagnose primary liver cancer. Toperform local resection instead of lobectomy for liver cancer can increase resectability, reduce operativemortality, and affect no prognosis.