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本文对伴有 HBV 感染四种常见模式的226例原发性肝癌(PHC)进行分析,其中 HBsAg、抗-HBc 和抗-HBc 三项同时阳性为最常见的 HBV 感染模式,占45.6%;该模式患者发病年龄提早,而且发病高峰较其它三种模式提前10年,为30～39岁,治疗后半年、1年生存率均低于其它模式。揭示该模式的乙肝患者应视为PHC 的高危险人群,需密切重视,定期复查,以求早诊早治。
In this paper, 226 cases of primary hepatocellular carcinoma (PHC) accompanied by four common patterns of HBV infection were analyzed. The three simultaneous positive HBsAg, anti-HBc and anti-HBc were the most common patterns of HBV infection, accounting for 45.6% The onset age was earlier and the peak incidence was 10 years earlier than other three models, ranging from 30 to 39 years. The half-year and 1-year survival rates were lower than those in other modes. Hepatitis B patients revealing this pattern should be regarded as high-risk groups of PHC, which requires close attention and regular review to seek early diagnosis and early treatment.