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原发性肝癌术后生存10年以上94例分析
引用本文:梁雪婧,李智贤,梁水庭.原发性肝癌术后生存10年以上94例分析[J].重庆医学,2017,46(8).
作者姓名:梁雪婧  李智贤  梁水庭
作者单位:1. 广西医科大学第一附属附院血管外科,南宁,530021;2. 广西医科大学第一附属附院超声诊断科,南宁,530021;3. 广西医科大学第一附属附院微创外科,南宁,530021
基金项目:广西壮族自治区中医药民族医药自筹经费科研课题
摘    要:目的 探讨与原发性肝癌术后获长期生存的有关因素.方法 对该院原发性肝癌手术切除生存10年以上94例患者的术前术后情况作回顾性分析.结果 能获长期生存的重要因素是:(1)肿瘤直径小于或等于5 cm(占73.4%),外周型肝癌(占70.2%);(2)对复发患者行有效治疗;(3)术后长期行抗肝纤维化联合抗肿瘤治疗(以服用中药为主);(4)坚持随访.结论 原发性肝癌根治术后,尤其是肿瘤直径小于或等于5 cm、外周型肝癌患者,坚持随访,坚持行抗纤维化联合抗肿瘤为主的治疗是获得长期生存的重要因素.

关 键 词:原发性肝癌  手术  生存

Analysis of 94 patients with primary liver cancer survived over 10 years after hepatectomy
Liang Xuejing,Li Zhixian,Liang Shuiting.Analysis of 94 patients with primary liver cancer survived over 10 years after hepatectomy[J].Chongqing Medical Journal,2017,46(8).
Authors:Liang Xuejing  Li Zhixian  Liang Shuiting
Abstract:Objective To study the correlated factors of long-term survival after hepatectomy.Methods The preoperative and postoperative conditions of 94 patients with liver cancer survived over 10 years after hepatectomy were enrolled for reviewing analysis.Results The important correlated factors of postoperative long-term survival are the following:(1) Diameter of tumor≤ 5 cm(73.4 %);peripheral liver cancer(70.2 %).(2) Effective treatment for recurrence.(3) Long-term and regular treatment of antiliver fibrosis and anti-cancer after hepatectomy(mainly Chinese Medicine).(4)Enforcing follow-up survey.Conclusion Diameter of tumor≤5 cm,peripheral liver cancer patients,enforcing follow-up survey and Chinese Medicine treatment are important factors of achieve long-term survival after hepatectomy.
Keywords:primary liver cancer  hepatectomy  survival
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