肝癌自发破裂出血诊治体会（附29例报告）

目的：探讨肝癌自发破裂出血的诊治方法。方法：回顾性分析我院1995年1月-2007年5月间收治的29例肝癌自发破裂出血患者的临床资料。开腹手术16例，其中行肝脏部分切除10例，单纯缝扎3例，局部填塞2例，缝扎加肝动脉结扎1例。介入治疗9例，其中3例术后再行开腹手术治疗。保守治疗4例。结果：死亡5例，其中开腹手术1例，介入治疗1例，保守治疗3例。开腹手术患者1年生存率43．8％（7／16），介入治疗33．3％（3／9），保守治疗0．0％（0／4）。结论：积极手术及介入治疗可增加抢救成功机会，合理选择治疗方案是提高远期疗效的关键。

Experience of diagnosis and treatment on spontaneous rupture of hepatocellular carcinoma in 29 cases

Objective：To investigate the diagnosis and treatment on spontaneous rupture of hepatocellular carcinoma. Methods ： Altogether 29 cases were treated in our hospital from January 1995 to May 2007, retrospective study was used to analyze the clinical data of them. Of the 29 patients, operation in 16 cases, transcatheter arterial embolization in 9 cases, conservative trentment in 4 cases were performed. Results： Five cases died, among those 1 case after operation, 1 case in transcatheter arterial embolization and 3 cases in conservative trentment. The 1 - year survival rates was 7/16 in operative patients,3/9 in transcatheter arterial embolization,0/4 in conservative trentment. Conclusion：Active operation and embolization can enhence the chance of sucessful emergency. Reasonable selection of treatment is the key to improve the long- term efficacy.