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目的:探讨精准肝切除术治68例原发性肝癌的疗效。方法:选取2014年9月至2015年9月在我院接受治疗的68例原发性肝癌患者为研究对象,根据手术方式的不同分为对照组和观察组,每组患者各34例,对照组采用常规肝切除治疗,观察组采用精准肝切除治疗,比较两组的手术时间、住院时间、术中出血量、并发症发生率、局部复发转移率、手术前后肝功能指标以及两年存活率。结果:在术中出血量、住院时间、并发症发生率方面比较,观察组明显优于对照组,P<0.05具有可比性,有统计学意义;与术前比较,术后两组肝功能指标均明显改善,但观察组改善更明显,P<0.05具有显著性差异,有统计学意义;术后随访两年,在局部复发转移率、两年存活率方面比较,观察组明显优于对照组,P<0.05具有显著性差异,有统计学意义。结论:精准肝切除术治疗原发性肝癌的疗效显著,非常值得在临床得到推广与应用。
Objective: To investigate the effect of precision hepatectomy on 68 cases of primary liver cancer. Methods: Seventy-eight patients with primary liver cancer who were treated in our hospital from September 2014 to September 2015 were selected as the control group and the observation group according to the different surgical methods, 34 patients in each group, control group The patients underwent hepatectomy in the observation group and the patients underwent hepatectomy in the observation group. The operation time, hospitalization time, intraoperative blood loss, complication rate, local recurrence and metastasis rate, preoperative and postoperative liver function indexes and two-year survival rate . Results: Compared with the control group, the observation group was significantly better than the control group in the amount of bleeding, length of hospital stay, and complication rate, P <0.05 was comparable, statistically significant; compared with preoperative, postoperative liver function indicators Were significantly improved, but the observation group improved more significantly, P <0.05 significant difference was statistically significant; after two years of follow-up, the local recurrence and metastasis rates, two-year survival rate, the observation group was significantly better than the control group , P <0.05 had significant difference, with statistical significance. Conclusion: The curative effect of precision hepatectomy on primary hepatocellular carcinoma is significant and it is worth to be popularized and applied clinically.