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目的 进一步探讨老年人肝癌的诊断和外科手术治疗的疗效。方法 回顾分析 1990年 5月至 1997年 6月收治的6 6例 6 0岁以上肝癌患者的临床特点、诊断、外科治疗方法和疗效。结果 本组合并肝外疾病发生率为 84.8%。以肝外临床表现首诊占 30 .3% (2 0 / 6 6 ) ,6 6例经局部或肝叶切除 ,无 1例死亡 ,术后并发症发生率为 31.8% (2 1/ 6 6 ) ,均经及时处理痊愈出院 ,随访 32例 ,术后 1、2、3年生存率为 10 0 %、84.3%、6 2 .5 %。结论 老年人肝癌的临床表现不典型 ,应加以重视 ,以免漏诊、误诊。对高危病人的普查随访是早期诊断的关键。尽管老年人肝癌合并心肺等系统疾病较多 ,只要病人许可 ,手术治疗是提高疗效的首选方法。围手术期的严密监测和积极预防是手术成功的重要因素
Objective To further explore the diagnosis and surgical treatment of liver cancer in the elderly. Methods The clinical features, diagnosis, surgical treatment and efficacy of 66 patients with liver cancer over 60 years old who were admitted between May 1990 and June 1997 were retrospectively analyzed. Results The incidence of extrahepatic diseases in this group was 84.8%. The first diagnosis of extrahepatic clinical manifestations accounted for 30.3% (20/6 6), 6 6 cases of local or hepatectomy, no one died, the incidence of postoperative complications was 31.8% (2 1/6 6 ) Were treated and discharged in time. Thirty-two cases were followed up, and the 1, 2, 3-year survival rates were 100%, 84.3% and 62.5% respectively. Conclusion The clinical manifestations of hepatocellular carcinoma in the elderly are not typical and should be taken seriously to avoid misdiagnosis and misdiagnosis. Census follow-up of high-risk patients is the key to early diagnosis. Although elderly patients with hepatocellular carcinoma and other diseases of the heart and lung system more, as long as the patient permission, surgical treatment is to improve the efficacy of the preferred method. Perioperative strict monitoring and active prevention is an important factor in the success of surgery