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目的探讨手术治疗原发性肝癌的临床效果。方法选取修水县第一人民医院2010年1月—2014年1月收治的原发性肝癌患者50例,均行手术治疗。结果本组50例患者经手术治疗后1例患者因肝功能严重衰竭而死亡,其余49例患者治疗成功,并顺利出院;对49例患者进行为期1~5年的随访,术后第1、3、5年的生存率分别为74.0%、34.0%、20.0%。结论对原发性肝癌患者应根据患者的全身情况、病变部位以及病理分级等选择最佳术式,以提高患者救治成功率和5年生存率。
Objective To explore the clinical effect of surgical treatment of primary liver cancer. Methods 50 cases of primary liver cancer patients who were treated in the First People’s Hospital of Xiushui County between January 2010 and January 2014 were treated with surgery. Results One patient in this group died of severe liver function failure after surgical treatment. The remaining 49 patients were successfully treated and were discharged. 49 patients were followed up for 1 to 5 years. The 3-year and 5-year survival rates were 74.0%, 34.0%, and 20.0%, respectively. Conclusions For patients with primary liver cancer, the best surgical procedure should be selected based on the patient’s general condition, lesion location, and pathological grade in order to improve the success rate and 5-year survival rate of patients.