摘要
目的评估乳腺癌患者术后肝转移再次接受肝转移癌切除术的价值。方法回顾性分析2001年3月至2009年7月于台山市人民医院接受乳腺癌根治术患者1357人,其中术后出现肝脏转移者59人,分为两组:接受肝切除患者为11人(A组);出现肝转移但仅行保守治疗患者48例(B组);对两组患者的资料进行生存分析。结果 11名乳腺癌复发患者接受再次肝切除的中位生存时间为23.4月,平均生存时间长于未接受肝切除组(14.5月),两组间有明显差异(P<0.05。结论本研究提示肝切除术能够延长肝脏复发性乳腺癌患者的生存期,特别是对单纯肝脏复发的患者,肝切除术是值得推荐的治疗方式。
Objective To assess the value of the liver resection in breast cancer patients with liver metastasis. Methods Between March 2001 and July 2009, a total of 1357 patients underwent breast cancer surgery in Taishan People＇s Hospital were enrolled. Among them, 59 patients were confirmed as liver metastasis. All patients were assigned into ：（A） accepted liver resection（n =11）;（B） only with conservative treatment（n =48）. The survival rate and survival time after liver resection were measured. Results The mean survival time of A group was 24.44±16.23 months. There was a statistically advance between our research and traditional therapies. The mean survival time in groups A were significantly longer than that in group B（P〈0.05）. Conclusion Our study suggested that liver resection results in advanced survival time for metastasis breast cancer patients, especially in patients with solitary liver metastasis.
出处
《岭南现代临床外科》
2015年第1期26-29,共4页
Lingnan Modern Clinics in Surgery
关键词
乳腺癌
肝转移
肝切除
生存分析
Breast cancer
Liver metastasis
Liver resection
Survival analysis
