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［目的］探讨原发性肝癌自发破裂治疗中不同处理方式的疗效。［方法］１９８１年至１９９８年２７例原发性肝癌自发破裂患者分别采用非手术治疗，冲洗引流，单纯大网膜或明胶海绵填塞修补，修补＋肝动脉插管化疗，修补＋肝动脉结扎及肝癌切除治疗。［结果］切除组的生存期大于１８个月，其它各组的生存期均少于６个月。［结论］肝癌切除显著延长了原发性肝癌自发破裂患者的生存期。
[Objective] To investigate the efficacy of different treatment methods in the treatment of spontaneous rupture of primary liver cancer. [Methods] From January 1981 to 1998, 27 patients with spontaneous rupture of primary hepatic carcinoma were treated with non-surgical treatment, irrigation drainage, simple omentum or gelatin sponge filling repair, repair + hepatic artery catheterization chemotherapy, repair + hepatic artery ligation and Liver cancer resection treatment. [Results] The survival time of the resection group was more than 18 months, and the survival time of other groups was less than 6 months. [Conclusion] Liver cancer resection significantly prolongs the survival of primary hepatocellular carcinoma patients with spontaneous rupture.