96例肝细胞肝癌术后复发危险因素分析

目的：探讨原发性肝细胞肝癌术后复发转移的危险因素,为预测和预防原发性肝癌术后复发提供依据。方法：回顾性分析2000年1月～2005年12月收治的96例肝细胞肝癌术后复发患者的临床病理特征,并任取同期收治的48例无复发肝癌患者作对照。用单因素和多因素分析肝癌复发的相关因素。结果：术后1、2年生存率分别为79.2%和65.4%,1、2年无瘤生存率分别为66.2%和50.3%。单因素分析显示肝癌早期复发与下列5个因素有关：肿瘤大小、肿瘤数目、肿瘤包膜是否完整、有无血管癌栓、有无结节融合。结论：大肝癌有血管癌栓是肝细胞肝癌术后复发的高危因素。

Recurrence of hepatocellular carcinoma risk factors-clinical experience of 96 cases

Objective： To study the primary hepatocellular carcinoma postoperatively relapse and metastasis of risk factors for prediction and prevention of primary liver cancer recurrent provides the basis.Methods： A retrospective analyzed of January 2000 to December 2005 were 96 cases of recurrent hepatocellular carcinoma of the clinical and pathological features,and take the same as misdignosed 48 patients without recurrence liver cancer cases as a control.By single factor and multi-factor analysis HCC recurrence of related factors.Results： Postoperative 1,2 years for surial rates were 79.2% and 65.4%,1,2 years disease-free surial rate respectively 39.6 and start ontimeand 50.3.Single factor analysis showed that the liver cancer early recurrence and the following five factors： tumor size,tumor number,tumor capsule was complete,whether vascular tumor emboli,presence of nodules fusion.Conclusion： Large liver cancer with vascular tumor emboli are recurrent hepatocellular carcinoma risk factors.