| 伴或不伴肝硬化原发性肝癌临床特点的对比分析 |
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| 引用本文： | 杨少奇,张飞雄,杨力,胡建国,郭新宁.伴或不伴肝硬化原发性肝癌临床特点的对比分析[J].宁夏医科大学学报,2003,25(3):181-182. |
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| 作者姓名： | 杨少奇 张飞雄 杨力 胡建国 郭新宁 |
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| 作者单位： | 宁夏医学院附属医院消化内科 银川750004
(杨少奇，张飞雄，杨力，胡建国)，宁夏医学院附属医院消化内科 银川750004(郭新宁) |
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| 摘 要： | 目的 :探讨伴和不伴肝硬化的原发性肝癌的临床特点。方法 :对 2 81例伴肝硬化和 14 7例不伴肝硬化的肝癌患者的临床资料及实验室检验指标进行对比分析。结果 :与不伴肝硬化的肝癌患者相比 ,伴有肝硬化的肝癌患者起病隐匿、HBV感染率更高 (85 1%vs 6 7 3% ,P <0 0 1) ,AFP以及AST升高明显 (P <0 0 5 ) ,手术切除机会少。结论 :伴肝硬化的肝癌与HBV感染有更强的相关性 ,监测AFP对发现肝硬化癌变意义大 ,而早期B超对不伴肝硬化的肝癌诊断更为重要。
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| 关 键 词： | 原发性肝癌 肝硬化 临床特点 实验室检验 对比分析 |
| 文章编号： | 1005-8486(2003)03-0181-02 |
| 修稿时间： | 2002年10月18 |
Analysis on Clinical Characteristics of Primary Hepatocellular Carcinoma with or Without Cirrhosis |
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| YANG Shao-qi,ZHANG Fei-xiong,YANG Li,et al.Analysis on Clinical Characteristics of Primary Hepatocellular Carcinoma with or Without Cirrhosis[J].Journal of Ningxia Medical College,2003,25(3):181-182. |
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| Authors: | YANG Shao-qi ZHANG Fei-xiong YANG Li |
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| Abstract: | Objective: To investigate the clinical characteristics of HCC with and without liver cirrhosis. Methods: Two hundreds and eighty-one patients with cirrhosis and 147 patients without cirrhosis were studied in terms of the clinical symptoms, and signs and laboratory parametes. Results: The development of HCC with cirrhosis were more insidiously and the prevalence of HbsAg in HCC patients with cirrhosis was significantly higher than in those without cirrhosis (85.1% vs 67.3%, P<0.01), AFP and AST were elevated in more patients with cirrhosis than those without cirrhosis (P<0.05). Conclusion: The HCC with cirrhosis is more significantly associated with HBV infection than those without cirrhosis. Monitoring serum AFP is useful for cancer detection in patients with cirrhosis, however for those patients without cirrhosis, early ultrasound is more important. |
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| Keywords: | hepatocellular carcinoma liver cirrhosis HBV |
| 本文献已被 CNKI 等数据库收录！ |
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