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目的对比规则与不规则切除在小肝癌中的临床疗效。方法 106例原发性小肝癌患者根据手术切除方式分为规则切除组(A组,46例)和不规则切除组(B组,60例)。比较术中情况及术后并发症及复发及生存情况。结果 A组切缘(1.52±3.42)cm大于B组(0.98±2.68)cm;A组手术时间(136.26±5.68)min长于B组(112.58±4.87)min,差异均具有统计学意义(P<0.05)。两组患者切缘阳性率、术中不良事件发生率、术后并发症发生率、术后复发率及生存率比较,差异均无统计学意义(P>0.05)。结论不规则切除是小肝癌有效的手术方式,可在临床推广应用。
Objective To compare the clinical curative effect of rule and irregular resection in small liver cancer. Methods One hundred and sixty patients with primary small hepatocellular carcinoma were divided into two groups according to the surgical resection: group A (n = 46) and group C (group B: n = 60). Comparison of intraoperative and postoperative complications and recurrence and survival. Results The cut edge of group A was (1.52 ± 3.42) cm greater than that of group B (0.98 ± 2.68) cm. The time of operation in group A was longer than that of group B (112.58 ± 4.87) min (136.26 ± 5.68) min, the differences were statistically significant (P < 0.05). There was no significant difference in positive rate of margins, incidence of adverse events, postoperative complication rate, postoperative recurrence rate and survival rate between the two groups (P> 0.05). Conclusions Irregular resection is an effective surgical method for small hepatocellular carcinoma and can be widely applied in clinical practice.