摘要
目的探究两种术式对原发性小肝癌患者近远期疗效的影响观察。方法将本院2013年1月—2014年3月收治的85例原发性小肝癌患者纳入研究对象,根据不同的手术方法分为手术切除术50例和射频消融组35例,比较两组患者的手术时间与住院天数,术前与术后1个月的肝功能相关指标,并发症发生情况及复发率。结果手术切除组患者的手术时间和住院天数均较射频消融组显著长(P<0.05);经手术后,手术切除组患者降低程度小于射频消融组患者,(P<0.05);手术切除组术后并发症发生率显著高于射频消融组(P<0.05);两组患者术生存率和复发率差异无统计学意义(P>0.05);结论两种术式对原发性小肝癌患者近远期生存率与复发率差异不大,但经皮射频消融术并发生发生率更低,肝功能改善程度更好,相比于腹腔镜肝切除术的整体效果更佳。
Objective To investigate the effect of two surgical procedures on the short-term and long-term effects of primary small liver cancer patients.Methods Eighty-five patients with primary small hepatocellular carcinoma admitted to our hospital from January 2013 to March 2014 were enrolled in the study.According to different surgical methods,50 patients underwent surgical resection and 35 patients underwent radiofrequency ablation.The patient's operation time and hospital stay,liver function related indicators,complications and recurrence rate before and 1 month after surgery.Results The operation time and length of hospital stay in the surgical resection group were significantly longer than those in the radiofrequency ablation group(P<0.05).After surgery,the degree of reduction in the surgical resection group was less than that in the radiofrequency ablation group(P<0.05);surgical resection The incidence of postoperative complications was significantly higher in the group than in the radiofrequency ablation group(P<0.05).There was no significant difference in the survival rate and recurrence rate between the two groups(P>0.05).Conclusion The two procedures were primary.The short-term survival rate and recurrence rate of small liver cancer patients have little difference,but the incidence of percutaneous radiofrequency ablation is lower,and the liver function is better,which is better than the overall effect of laparoscopic liver resection.
作者
张胜
ZHANG Sheng(Department of Hepatobiliary Surgery,Huizhou Central People's Hospital,Huizhou Guangdong 516000,China)
出处
《中国继续医学教育》
2020年第8期134-136,共3页
China Continuing Medical Education
关键词
腹腔镜肝切除术
经皮射频消融术
原发性小肝癌
近远期
疗效
laparoscopic hepatectomy
percutaneous radiofrequency ablation
primary small liver cancer
near and long term
effect
