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| 引用本文： | 彭宝岗,罗时敏,梁力建,何强. ��ϸ�����ϲ��ž�����˨���������[J]. 中国实用外科杂志, 2002, 22(9): 527-529 |
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| 作者姓名： | 彭宝岗 罗时敏 梁力建 何强 |
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| 作者单位： | 中山大学附属第一医院肝胆外科,广州,510080 |
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| 摘 要： | 目的：探讨肝细胞癌（HCC）合并门静脉癌栓（PVTT)外科治疗的效果。方法：总结1997年1月至2001年12月采用肝切除和门静脉切开取癌栓术治疗HCC合并PVTT63例，其中10例术后行门静脉化疗。结果：术后3个月内死于肝肾功能衰竭5例，58例术后恢复良好。术后1、3、5年生存率分别为42．6％、21．3％、4．2％。结论：肝切除和门静脉切开取癌栓术是HCC合并PVTT有效的治疗方法，术后联合门静脉化疗和超声介入疗法能提高治疗的效果。
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| 关 键 词： | 肝细胞癌 门静脉癌栓 外科手术 治疗 |
| 文章编号： | 1005-2208(2002)09-0527-03 |
Surgical treatment for hepatocellular carcinoma with portal vein tumor thrombi. |
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| Peng Baogang,Luo Shimin,Liang Lijian,et al.. Surgical treatment for hepatocellular carcinoma with portal vein tumor thrombi.[J]. Chinese Journal of Practical Surgery, 2002, 22(9): 527-529 |
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| Authors: | Peng Baogang Luo Shimin Liang Lijian et al. |
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| Affiliation: | Peng Baogang,Luo Shimin,Liang Lijian,et al.Department of Hepatobiliary Surgery,the First Affiliated Hospital of Zhongshan University,Guangzhou 510080,China |
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| Abstract: | Objective To study the value of surgical treatment for hepatocellular carcinoma(HCC)with portal vein tumor thrombi(PVTT).Methods From January 1997 to December 2001,63 cases of HCC with portal vein tumor thrombi underwent hepatectomy and portal vein tumor thrombi extraction.Among them,10 cases underwent portal vein chemotherapy(PVC).Results 5 cases died from the functional failure of liver and kidney in 3 months after operation.58 cases recovered well.The 1 ,3 ,and 5 year survival rates were 42 6%,21 3% and 4 2%,respectively.Conclusion Surgical intervention is effective in the treatment of HCC with PVTT.After operation,PVC and ultrasonic intervention may have a favourable effect on the prognosis. |
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| Keywords: | Hepatocellular carcinoma Portal vein tumor thrombi Hepatectomy |
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