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报道90例复发性肝癌的外科治疗,讨论了肝癌复发的机理及影响因素。肝癌术后复发的早期诊断依赖于术后AFP的监测及B超的定期复查.肝切除仍是复发性肝癌的首选治疗,对复发性肝癌的外科治疗,包括水中无水酒精注射和肝动脉插管栓塞化疗是提高肝癌术后长期生存的途径。
The surgical treatment of 90 cases of recurrent hepatocellular carcinoma was reported. The mechanism and influencing factors of hepatocellular carcinoma recurrence were discussed. The early diagnosis of liver cancer recurrence relies on the monitoring of postoperative AFP and the periodic review of B ultrasound. Liver resection is still the first choice for treatment of recurrent hepatocellular carcinoma. Surgical treatment of recurrent hepatocellular carcinoma, including water-free alcohol injection and hepatic artery catheterization and embolization chemotherapy, is the way to improve long-term survival of liver cancer.