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目的研究预测原发性肝细胞肝癌自发性破裂出血的相关因素。方法对我院1998年12月至2006年5月间收治的肝细胞肝癌患者临床资料进行回顾分析,重点探讨其CT表现及凝血状况,并将其分为破裂组与非破裂组进行对比。结果活化部分凝血活酶时间及肿瘤突出肝表面的最大长度与肝细胞肝癌破裂有关。结论CT联合凝血指标对肝细胞肝癌自发性破裂有一定的预测价值。
Objective To study the related factors that predict spontaneous rupture of primary hepatocellular carcinoma (HCC). Methods The clinical data of patients with hepatocellular carcinoma admitted between December 1998 and May 2006 in our hospital were retrospectively analyzed. The CT findings and coagulation status were mainly discussed. The patients were divided into rupture group and non-rupture group. Results The activation of partial thromboplastin time and the maximum length of tumor-prominent liver surface were related to the rupture of hepatocellular carcinoma. Conclusion CT combined coagulation index has some predictive value for the spontaneous rupture of hepatocellular carcinoma.